Management of pph

Management of postpartum hemorrhage (PPH) involves prompt identification and intervention to control bleeding. Key strategies include:

1. Uterine massage: Stimulating the uterus to contract and expel clots.
2. Pharmacological agents: Administering uterotonics like oxytocin, methylergonovine, or misoprostol to enhance uterine tone.
3. Removal of retained products: Ensuring the uterus is empty of placental fragments or membranes.
4. Surgical interventions: In severe cases, procedures like uterine balloon tamponade, uterine artery embolization, or hysterectomy may be necessary.
5. Fluid resuscitation and blood transfusion: To manage hypovolemic shock.