Postpartum Hemorrhage. Learning Objectives. Define and differentiate between early and late PPH. Identify causes and risk factors of PPH. Identify symptoms and signs of PPH and list the laboratory investigations.
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Pritchard AJOB 1961
Clark Obstet Gynecol 1984
In a woman with excessive PPH, begin first aid management while simultaneously taking a history and performing a physical examination.
Introducing one hand into the vagina along the cord
Supporting the fundus while detaching the placenta
Withdrawing the hand from the uterus
Do not waste valuable time trying to save the uterus at the expense of the general condition of the mother.