How is postpartum hemorrhage (PPH) prevented?

Updated: Jan 02, 2018
  • Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Answer

The active management of the third stage of labor has been shown to decrease the incidence and severity of postpartum hemorrhage (PPH). This includes the administration of oxytocin or misoprostol, uterine massage, gentle traction on the umbilical cord, and prompt placental delivery. Women with a known uterine scar or suspected placental abnormalities should be delivered and managed in a hospital setting, and instrumentation should be avoided, when possible, during vaginal delivery.

For further information, see the World Health Organizations recommendations on the prevention of postpartum hemorrhage. [25]


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