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    Who HRP e Motive Poster Original 1

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    Andreina Camacho
    Early detection and treatment of postpartum hemorrhage is important. Key steps include using a calibrated drape to monitor blood loss, administering oxytocic drugs and tranexamic acid, performing uterine massage, and giving IV fluids. If bleeding does not stop after initial response or the cause cannot be identified, further examination under anesthesia may be needed. Hospitals should establish trigger criteria for treatment, implement strategies like checklists, training, and audits, and designate champions to oversee best practices.

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    Who HRP e Motive Poster Original 1

    Uploaded by

    Andreina Camacho
    19 views1 page
    Early detection and treatment of postpartum hemorrhage is important. Key steps include using a calibrated drape to monitor blood loss, administering oxytocic drugs and tranexamic acid, performing uterine massage, and giving IV fluids. If bleeding does not stop after initial response or the cause cannot be identified, further examination under anesthesia may be needed. Hospitals should establish trigger criteria for treatment, implement strategies like checklists, training, and audits, and designate champions to oversee best practices.

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    Who Hrp e Motive Poster Original 1

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    Early detection and treatment of postpartum hemorrhage is important. Key steps include using a calibrated drape to monitor blood loss, administering oxytocic drugs and tranexamic acid, performing uterine massage, and giving IV fluids. If bleeding does not stop after initial response or the cause cannot be identified, further examination under anesthesia may be needed. Hospitals should establish trigger criteria for treatment, implement strategies like checklists, training, and audits, and designate champions to oversee best practices.

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    © All Rights Reserved
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    19 views1 page

    Who HRP e Motive Poster Original 1

    Uploaded by

    Andreina Camacho
    Early detection and treatment of postpartum hemorrhage is important. Key steps include using a calibrated drape to monitor blood loss, administering oxytocic drugs and tranexamic acid, performing uterine massage, and giving IV fluids. If bleeding does not stop after initial response or the cause cannot be identified, further examination under anesthesia may be needed. Hospitals should establish trigger criteria for treatment, implement strategies like checklists, training, and audits, and designate champions to oversee best practices.

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    of 1

    DETECT AND TREAT P O S T PA R T U M H E M O R R H A G E E A R LY

    E E
    M IV
    O T
    Early detection Examination
    and trigger criteria and escalation

    • Calibrated drape for blood Massage of uterus IV fluids • Ensure bladder is empty,
    loss collection with trigger evacuate clots, check
    lines at 300ml and 500ml Oxytocic drugs Tranexamic acid for tears with an internal
    • Massage until uterus • IV fluids in addition to the
    for the first hour after birth examination and placenta
    has contracted or infusion should be given
    • Observations (blood for completeness
    for one minute • 10 IU IV oxytocin injection • 1g IV injection of if clinically indicated for
    loss, blood flow, uterine resuscitation and will • Escalate if bleeding
    tone) every 15 minutes or diluted in 200-500ml tranexamic acid does not stop after first
    crystalloid over 10 minutes or diluted in 200ml require a 2nd IV access
    documented on the blood response or you are unable
    loss monitoring chart plus a maintenance dose for crystalloid over to identify or manage
    20 IU IV oxytcin diluted in 10 minutes cause of bleeding
    • Blood pressure and pulse 1000ml saline over
    carried out once in the 4 hours (+- misoprostol
    1st hour postpartum and 800mcg PR/SL if used)
    documented on the blood
    loss monitoring chart

    Trigger criteria Implementation strategies

    1 Clinical judgement Audit newsletters: sharing with all staff monthly detection Trolley and/or carry case: including all medicines
    and bundle use rates along with PPH, severe PPH, blood and devices required for the treatment of PPH
    2 Blood loss 500ml or more transfusion, laparotomy and death from PPH rates and restocked after every use and complete a stocking
    3 Blood loss 300ml or more given feedback at monthly departmental meetings checklist at the start of every shift
    plus one abnormal
    observation Champions: midwife and doctor to oversee change, Training: on-site, simulation-based, and peer-assisted
    troubleshoot, give feedback on audit newsletters, connect training of 90 minutes to a whole day facilitated by
    with other champions through chats, meeting and the use of provider guides, flipcharts and job aids
    websites for sharing knowledge and lessons learnt displayed in labour wards

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