Rule of 30, Shock index and

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Algorithm for management of Atonic PPH HAEMOSTASIS S Shock 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
Literature Review of the conservative surgical (& radiological) measures Series of at least 5 cases English language Single interventions Uterine ballon tamponade B-Lynch/ compression sutures Arterial embolization Int. iliac artery ligation/ uterine devascularization Success rates
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 12 and 13: FVIIa (NovoSeven R ) Recommended -
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

Rule of 30, Shock index and

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