产后出血紧急措施.ppt

POSTPARTUM HAEMORRHAGE STEPS TO AVOID HYSTERECTOMY ;PPH - Old problem - new thoughts;PPH - Emergency that kills(5’th commonest cause – CIMD);;;Prostaglandin potentiates the action of oxytocin;;;;;The “Tamponade Test”;COMPRESSION SUTURESQuick, safe and effective;;;Placental bed haemorrhage;; ;;;;;;;;PPH Coagulation disorders‘Wash Out Phenomenon’;Reason for excessive uncontrolled bleeding;;;;;;Clinical classification of hypovolaemic shock;Moderate Shock - 20-40% blood volume loss;Severe Shock40% or more blood volume loss;Haemorrhagic Shock ;THE GOLDEN HOUR;;PPH - Aggressive Surgery;Subto