Post Partum Haemorrhage (PPH)

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ICD10 CODE: O72

Management - see main Uganda Clinical Guidelines for full management

Check if placenta has been expelled, and is complete: 

• If yes, expel any clots in the birth canal
• If not, perform manual removal and refer
• Prophylactic antibiotic: ampicillin 2g IV stat plus metronidazole 500mg IV. 
• If signs of infection, give antibiotics as in puerperal fever.

Prevention: (Antibiotic Prophylaxis only - see main Uganda Clinical Guideline for full list)

• Give 5 days’ prophylactic antibiotics in prolonged or obstructed labour, or in presence of other risk factors, e.g. rupture of membranes, birth before arrival at health
  facility, instrument delivery