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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
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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