Rule of 30, Shock index and

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PPH - causes Remember the 4 T’s ! Tone - uterine atony 70% Tissue - retained placenta 20% Tears - vagina/cervix 10% Thrombin - coagulopathy
PPH - initial steps Call for help I.v. access (2 green/gray i.v. bores) ABC, monitor BP, pulse, respiration Bimanual compression <strong>of</strong> uterus Uterotonics (Oxytocin & Misoprostol) Check Hb, platelets - blood avaialable Proceed to advanced methods
Page 1 and 2: New aspects - treating severe PPH
Page 3 and 4: PPH - Risk factors Previous PPH A
Page 5: PPH prophylaxis in Norway 2001 Mate
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 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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