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Postpartum haemorrhage


Postpartum haemorrhage

Introduction

Even in 2016 the reality is that a postpartum haemorrhage (PPH) remains one of the leading direct causes of maternal deaths worldwide (World Health Organization (WHO) 2014). Within the UK, the latest Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) review into maternal mortality concluded that a PPH was in fact the third leading cause of direct maternal deaths (MBRRACE-UK 2014). Previous confidential enquiries have found that over 50 per cent of women who died from a major obstetric haemorrhage had at some point received substandard care (Centre for Maternal and Child Enquiries (CMACE) 2009). More specifically, it was evident that there was a lack of senior clinician involvement and a lack in postoperative monitoring, including failings to act on signs and symptoms that a woman is unwell, including the reading from MOEWS charts.

Learning aims and objectives

On completion of this resource you will:

  • Be able to define and distinguish between the different types of PPH
  • Know the causes and risk factors of a PPH
  • Be aware of how to manage a PPH safely and effectively

Keywords and linking topics

Postpartum haemorrhage, PPH, maternal mortality, obstetric emergencies, PROMPT

The activities and questions that form part of this resource will enable you to assess your knowledge and reflect on how you can incorporate it into your own practice. In the following questions, please select the answer that you believe to be correct. This will be marked and then you move on to the next question. If you wish, at the end you can return for a further attempt at the questions.

Upon completion of the module, you will be able to download and save or print a certificate to include in your CPD/revalidation portfolio.