Regional Postpartum Hemorrhage Guidelines

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Temple University supports the effort of theobstetrical chairs to reduce variability in carefrom institution to institution• Dr. Hernandez Chair of Ob Gyn• And The MFM team• Vow to be an integral part of this process
• Purpose: To assist medical providers and staff of thePhiladelphia Obstetrical Units to cooperatively establishthe components of care for the management of patientswith post partum hemorrhage (PPH)<strong>Guidelines</strong> for theManagement of PostPartum <strong>Hemorrhage</strong>
Page 1 and 2: Regional Postpartum HemorrhageGuide
Page 3 and 4: • Shared quality initiatives in O
Page 5: • Initiated as a result of a cris
Page 9 and 10: Risk FactorORRetained placenta3.5Fa
Page 11 and 12: • Call for additional help• Nur
Page 13 and 14: • Resuscitation• Oxygen by face
Page 15 and 16: • Once activated, the blood bank
Page 17 and 18: • Assess uterus for tone and size
Page 19 and 20: • Uterine Tamponade• SOS Bakri
Page 21 and 22: • Patient should be closely monit
Page 23 and 24: • Document thoroughly throughout
Page 25 and 26: • Fibrinogen > 100mg/dl• Hemato
Page 27 and 28: Specific treatments forPPH
Page 29 and 30: • Early recognition of its cause
Page 31 and 32: • the exclusion of• retained pl
Page 33 and 34: Hydrostatic balloons
Page 35: • Tamponade test Positive (bleedi
Page 38 and 39: • First transcatheter arterial em
Page 40 and 41: • Logistics• Interventional rad
Page 42: • User-friendly suture material m
Page 47: • Multiple full-thickness square
Page 51 and 52: Pelvic pressure pack
Page 53 and 54: • Recombinant factor VIIainduces
Page 55 and 56: • The hemorrhage continues despit
Page 57 and 58:
(1) Fresh frozen plasma: 5-10 ml/kg
Page 59 and 60:
(1) When no blood is available;(2)
Page 61 and 62:
Blood bank
Page 66:
Cell saver
Page 70 and 71:
• Consider availability of resour
Page 72 and 73:
Postpartum HemorrhageClass 1 Class
Page 74 and 75:
To be undertaken simultaneously wit
Page 76 and 77:
• Management:- Secure 2 large bor
Page 78 and 79:
Nursing Station Clerks:• Enter La
Page 80 and 81:
OB Attending MFM Back up OB Residen
Page 82 and 83:
Team CoordinatorAirway managementHe
Page 84 and 85:
• Assist anesthesia as needed•
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Regional Postpartum Hemorrhage Guidelines

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