Obstetrics & Gynaecology
Postpartum Haemorrhage
Primary PPH management — uterotonic escalation, surgical and interventional options
Source: RCOG GTG 52 2016
Step 1 of ~9
info
Postpartum Haemorrhage
Primary PPH: ≥500 mL blood loss within 24 h of delivery. Major PPH: ≥1000 mL. Causes — 4Ts: Tone (70%), Trauma, Tissue (retained), Thrombin (coagulopathy).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Tranexamic Acid (Surgical / Trauma Haemorrhage) · Antifibrinolytic (Haemostatic)
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Obeticholic Acid · FXR Agonist (Primary Biliary Cholangitis)
- Cefuroxime · Second-Generation Cephalosporin — Respiratory / Surgical Prophylaxis
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.