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Post Partum Hemorrhage PPH

Management Of Post Partum Hemorrhage

Postpartum bleeding or post partum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood within the first 24 hours following childbirth

Purpose of Post Partum Hemorrhage

To stop the bleeding and restore and maintain the circulating blood volume as rapidly as possible.  The mortality rate is directly associated with the duration and severity of the shock.

Scope of Post Partum Hemorrhage

All delivered patients.

Definition – Post Partum Hemorrhage

Hemorrhage from the birth canal in excess of 500 milliliters during the first 24 hours after birth.

Applicable Areas

Gyneac & Obstetric Department.


Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.


  • Assess the loss of blood post delivery and inform the doctor regarding the same.
  • Collect the clots from the bed and weigh it on the weighing machine, if necessary (for every 45 gms. of clots patient has lost 100 gms. of blood.
  • Monitor the vital signs of the patient and inform deviation to the consultant immediately.
  • Administer drugs as order by doctor.
  • Infused IV fluids rapidly as ordered by doctor.
  • Send blood immediately for grouping and cross matching, CBC and keep at least two units of pack cells ready in case of excessive blood loss as per Doctor’s order.
  • Check blood clots through per vaginal examination.
  • If situation uncontrollable immediate shift patient to Intensive Care Unit or higher centre for further management.
  • Do the close observation of patient.


Nurse’s Observation Sheet