High Risk labour-postpartum haemorrage by on feiwen
After the completion of more than 3 week of clinical in the labour room i have been able to conduct a delivery to 39 delivery .. alhamdullilah tingal satu delivery lagi.. okey back to collage .. on the 8 of septwe were able to hear a lecture about post partum haemorrage and the speaker were done by our ripas Gynecologist Dr On fei wen. what is Post partum haemorrage or PPH?? its define as blood loss of 500 ml or more within 24 hour of delivery through out the lecture we were able to know what is PPH , what are the midwive, what are the causes and management in dealing this cases during labour room, ward even at the clinic.
the commonn causes of PH is uterine atony (The failure of the uterus to contract maximally after the delivery ofthee baby and placenta, resulting in heavy uterine bleeding), tarumatic injury to genital area, uterine rupture, retained of placenta, prolong of labour, retained production of placent etc. the management of PPh is it important to all the midwwive if handling women with PPH it is important that NO Vaginal examination should be perform if u suspected that women is PPH than Called for HELP Experience midwife, obstetric alert anaesthetic, consultant, haematologist, tranfusion services..avoid prolong of 1st stage and 2nd stage full blood count, cross match and arrange blood should be taken,insert iv infusion for hydration and to prevent from shock,Oxygen should be given by mask, catherezation with hourly urine output and i/o chart countinously pulse/bp or cvp monitoring, elevate leg to increase veneous return, remember if placenta is not expelled remove by CCT or if not seperate by manual removal and check for placenta completion, examine the cervix, vagina and perineum for tears this done by doctor, remember to give ocytocin IV 20 units as protocol, antipated need for blood and blood product early and tranfuse as soon as possible.
P/S : if u want to give comment pls do so arah comment area ah .. mana tahu ada salah or any question and suggection regarding the management of PPH .. 
