PPH-AMTSL.ppt
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This document discusses post-partum haemorrhage (PPH) and the Active Management of the Third Stage of Labour (AMTSL). PPH is defined as blood loss of over 500 ml after vaginal delivery or 1000 ml after C-section. The causes of PPH include issues with uterine retraction and involution as well as the "four Ts" - tone, trauma, tissue, and thrombin. Management of PPH involves calling for help, assessing vitals, using uterotonics and other measures to stop bleeding such as massage, oxytocin infusion, compression, and in severe cases, hysterectomy. Prevention emphasizes risk assessment, AMTSL which actively manages placental delivery, and practice through
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PPH-AMTSL.ppt
- 3. What is PPH AN EMERGENCY !!! Traditional definition: >500 ml after Vaginal delivery >1000 ml after LSCS How to measure blood loss ??
- 4. The Why of PPH Retraction & Involution Timing of bleeding: Primary Secondary
- 6. Factors involved: 4 T's
- 8. How do we manage Call for help ABC HAEMOSTASIS
- 9. H: ask for Help A: Assess vitals & resuscitate E: Establish cause Ecbolics / uterotonics Ensure blood
- 10. M: Massage (bimanual) O: Oxytocin infusion S: Shift to OT T: Tamponade Pneumatic anti-shock garment Bhakri Balloon
- 13. A: Apply compression sutures S: Systemic devascularisation I: Interventional radiology S: Subtotal/Total Hysterectomy
- 15. Measuring Blood Loss Visual Accurate counts Hematocrit
- 17. Prevention of PPH Assessing risk factors Active Management of Third Stage of Labour (AMTSL) Recognising and Diagnosis Drills.... And more drills
- 18. AMTSL