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Guideline: Primary postpartum haemorrhage

Maternity and NeonatalClinical GuidelineQueensland Health Clinical Excellence Queensland Primary postpartum haemorrhage Queensland Clinical Guideline: postpartum haemorrhage Refer to online version, destroy printed copies after use Page 2 of 37 Document title: Primary postpartum haemorrhage Publication date: March 2018 Document number: Document supplement: The document supplement is integral to and should be read in conjunction with this guideline. Amendments: Full version history is supplied in the document supplement.

Manual removal + currettage Tone • Intrauterine balloon tamponade • Laparotomy: o Interim aortic compression o B-Lynch compression suture o Bilateral uterine artery ligation o Angiographic embolisaton o Hysterectomy (consider early) Trauma • Optimise exposure with retractors • Inspect cervix, vagina, perineum • Assess uterus intact

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  Manual, Primary, Trauma

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