Rule of 30, Shock index and

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Maternal mortality due to PPH CONFIDENTIAL ENQUIRY INTO MATERNAL DEATHS TOO LITTLE – TOO LATE Too Little (IV fluids, oxytocics, BLOOD, Clotting factors) Too Late (PG, resuscitation - blood replacement, decision for surgery + to get senior surgeon & anaesthetist involved)
Blood loss ml % PPH Symptoms 500-1000 10-15 Slight tachycardia, palpitations, drowsiness 1000-1500 15-25 Tachycardia, cold & sweating, malaise 1500-2000 25-35 Uneasy, pale, oligouria BP 60-80 2000-<strong>30</strong>00 35-45 Severe shock, colapse, anuria, BP 40-60
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 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: Algorithm for management of Atonic
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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