gynecology and obstetrics
Postpartum Hemorrhage
Prevention of Postpartum Hemorrhage
Predisposing conditions (eg, Uterine Fibroids , If women have an unusual blood type, blood available for transfusion appropriate for that blood type is made available ahead of time. Careful, unhurried delivery with a minimum of intervention is always wise. After placental separation,oxytocin10 units IM or diluteoxytocininfusion (10 or 20 units in 1000 mL of an IV solution at 125 to 200 mL/hour for 1 to 2 hours) usually ensures uterine contraction and reduces blood loss. After the placenta is delivered, it is thoroughly examined for completeness; if it is incomplete, the uterus is manually explored and retained fragments are removed. Rarely, curettage is required. Uterine contraction and amount of vaginal bleeding must be observed for 1 hour after completion of the third stage of labor. 