Secondary Post Partum Haemorrhage

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Secondary Post Partum Haemorrhage


  • between 24hours and 6 weeks of delivery

Causes

  • poor epithelialisation of placental site (80%)
  • retained placental fragment / blood clots

Examination

  • bulky / tender uterus

Management

  • USS
  • Ergometrine 0.5mg IM repeated if necessary
  • Antibiotics to control infection
  • Curretage if
    • placental tissue / clots
    • continuing bleeding in spite of oxytocics
 

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