Strategies for minimizing the occurrence postpartum haemorrhage
include identifying and correcting anomie before delivery, being aware of the
mother’s beliefs about blood transfusions, and eliminating routine episiotomy.
Reexamination of the patient’s vital signs and vaginal flow before leaving the
delivery area may help detect slow, steady bleeding (Magnann, et al., 2009).
include identifying and correcting anomie before delivery, being aware of the
mother’s beliefs about blood transfusions, and eliminating routine episiotomy.
Reexamination of the patient’s vital signs and vaginal flow before leaving the
delivery area may help detect slow, steady bleeding (Magnann, et al., 2009).
The best preventive strategy is active management of
the third stage of labor (number needed to treat [NNT] to prevent one case of
postpartum haemorrhage. Active management, which involves administering
auterotonic drug with or soon after the delivery of the anterior shoulder,
controlled cord traction, and, usually, early cord clamping and cutting,
decreases the risk of postpartum haemorrhage and shortens the third stage of labour
with no significant increase in the risk of retained placenta(Magnann, et al., 2009).
the third stage of labor (number needed to treat [NNT] to prevent one case of
postpartum haemorrhage. Active management, which involves administering
auterotonic drug with or soon after the delivery of the anterior shoulder,
controlled cord traction, and, usually, early cord clamping and cutting,
decreases the risk of postpartum haemorrhage and shortens the third stage of labour
with no significant increase in the risk of retained placenta(Magnann, et al., 2009).
Prophylactic administration of oxytocin (Pitocin)
reduces rates of postpartum haemorrhage by 40 percent; this reduction also
occurs if oxytocin is given after placental delivery(Magnann, et al., 2009).
reduces rates of postpartum haemorrhage by 40 percent; this reduction also
occurs if oxytocin is given after placental delivery(Magnann, et al., 2009).
Reference
Magnann, E. F., Evans, S.,
Chauhan, S. P., Lanneau, G., Fisk, A.D. & Morrison, J.C. (2009). The length
of third stage of labor and the risk of postpartum haemorrhage. Obstet Gynecol 105:2903.
Chauhan, S. P., Lanneau, G., Fisk, A.D. & Morrison, J.C. (2009). The length
of third stage of labor and the risk of postpartum haemorrhage. Obstet Gynecol 105:2903.
