Table 4 Observation of Management of PPH in Hospitals
Causes of PPH | Total | |||
|---|---|---|---|---|
Type of Intervention | Uterine atony n = 10 (%) | Genital Tract tears n = 12 (%) | Retained placentaa n = 46 (%) | n = 68 (%) |
Uterotonics (excluding AMSTL) | 9 (90%) | 6 (50%) | 34 (74%) | 49 (72%) |
Oxytocin | 7 (70%) | 2 (17%) | 25 (54%) | 34 (50%) |
Less than 40 IU | 3 (30%) | 1 (8%) | 17 (37%) | 21 (31%) |
40 IU or more | 4 (40%) | 1 (8%) | 4 (9%) | 9 (13%) |
not documented | – | – | 4 (9%) | 4 (6%) |
Misoprostol | 2 (20%) | 4 (33%) | 9 (20%) | 15 (22%) |
Less than 800 μg | – | 2 (17%) | 4 (9%) | 6 (9%) |
800 μg or more | 1 (10%) | 1 (8%) | 3 (7%) | 5 (7%) |
not documented | 1 | 1 | 2 | 4 |
Uterine massage | ||||
Yes | 10 (100%) | 10 (83%) | 40 (87%) | 60 (88%) |
No | – | 2 (17%) | 5 (11%) | 7 (10%) |
not documented | – | – | 1 | 1 |
IV fluids | ||||
Yes | 9 (90%) | 10 (83%) | 42 (91%) | 61 (90%) |
No | 1 (10%) | 2 (17) | 4 (9%) | 7 (10%) |
Blood transfusion | ||||
Yes | 2 (20%) | 2 (17%) | 14 (30%) | 18 (26%) |
1 unit or less | 2 (20%) | 2 (17%) | 8 (17%) | 12 (18%) |
2 units or more | – | – | 3 (7%) | 3 (4%) |
unknown | – | – | 3 | 3 |
Additional Procedure | ||||
Bimanual compression | 3 (30%) | 1 (8%) | 5 (11%) | 9 (13%) |
Aortic compression | 3 (30%) | – | 6 (13%) | 9 (13%) |
Genital tract tears repair | N/A | 10 (83%) | 6 (13%) | 16 (24%) |
Removal of retained placenta/products | N/A | N/A | 45 (98%) | 45 (66%) |
Tranexamic acid | 2 (20%) | 1 (8%) | 1 (2%) | 4 (6%) |
Hysterectomy | – | 1 (8%) | 1 (2%) | 2 (3%) |
Recorded as PPH case in the logbook | ||||
Yes | 9 (90%) | 7 (58%) | 30 (65%) | 46 (68%) |
No | 1 (10%) | 5 (42%) | 16 (35%) | 22 (32%) |