Prevention and Management of Postpartum Hemorrhage
Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 20 percent of births and is the most common maternal morbidity in developed countries and 30% in all maternal mortality in Africa.
"Strategies for minimizing the effects of postpartum hemorrhage include identifying and correcting anemia before delivery, being aware of the mother's beliefs about blood transfusions, and eliminating routine episiotomy"
"Uterine atony is the most common cause of postpartum hemorrhage. Because hemostasis associated with placental separation depends on myometrial contraction, atony is treated initially by bimanual uterine compression and massage, followed by drugs that promote uterine contraction."
"If the uterus is soft, massage is performed by placing one hand in the vagina and pushing against the body of the uterus while the other hand compresses the fundus from above through the abdominal wall. The posterior aspect of the uterus is massaged with the abdominal hand and the anterior aspect with the vaginal hand."
"JOIN HANDS TO SAVE A MOTHER"