Rule of 30, Shock index and

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FVIIa (NovoSeven R ) Recommended - 1,5 X blood volume lost Dose: 70 kg - 90 µg/kg - NOK 40 000,- Reduced effect Thrombocytopenia (platelets > 50 000) Low fibrinogen (fibrinogen > 1 g/l) Hypothermia Acidosis (pH < 7.1) Review - Int J Obstet Anesth 2007;16:29-34
Algorithm for management <strong>of</strong> Atonic PPH HAEMOSTASIS S <strong>Shock</strong> Garment & Shift to theatre – exclude Tissue or Trauma / Bimanual compression T Tamponade – Balloon or uterine packing A Apply compression sutures B-Lynch or modified S Systematic Pelvic devascularisation Uterine/Ovarian/Quadruple/Internal iliac I Interventional Radiologist If appropriate uterine artery embolisation S Subtotal / Total abdominal hysterectomy
Page 1 and 2: New aspects - treating severe PPH
Page 3 and 4: PPH - Risk factors Previous PPH A
Page 5 and 6: PPH prophylaxis in Norway 2001 Mate
Page 7 and 8: PPH - initial steps Call for help
Page 9: Prostaglandin potentiates the actio
Page 14 and 15: Algorithm for management of Atonic
Page 16 and 17: Condous G et al. Obstet Gynecol 200
Page 18 and 19: Uterine balloon tamponade Authors Y
Page 21 and 22: B-Lynch or Compression sutures Auth
Page 23 and 24: Arterial embolisation Authors Year
Page 25 and 26: Algorithm for management of Atonic
Page 27 and 28: Blood loss ml % PPH Symptoms 500-10
Page 29 and 30: Shock index Shock Index = HR / Syst
Page 31 and 32: Subtotal or Total Hysterectomy Seve
Page 33 and 34: Intravenous iron post PPH RCT - Bha
Page 35 and 36: Intravenous ferric carboxymaltose c
Page 37 and 38: Results Hb response (≥2.0 g/dL)
Page 39: Is Erythropoietin beneficial in the

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