14. Management Secondary PPH
Exclude retention of placental tissue as a cause
Ultrasound (identify retained placental tissue)
Ultrasound guided removal of placental tissue under
general anaesthesia
Endometritis
Antibiotic therapy
15. Summary
Bleeding more than 500 ml from genital tract after
delivery
Primary and secondary
4t – tone, tissue, trauma, thrombin
Multidiscipline management