Post-partum haemorrhage (PPH) causes

The four T‘s

  • Tone – uterine atony (cause in 80-90% of patients)
  • Trauma – cervix, vagina, perineum, anus and rectum
  • Tissue – retained placenta
  • Thrombin – development of DIC
Treatment requires:
ABC approach, IV fluids, oxytocin infusion, bimanual compression and surgery such as uterine artery embolisation or a hysterectomy (if required)

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