Question

The initial step in the management of postpartum haemorrhage is

Answer 1

Active management of the third stage of labour significantly decreases the risk of postpartum haemorrhage. It involves the use of oxytocic medication, immediate cord clamping and delivery of the placenta by controlled cord traction. Practitioners need to be aware of the risk factors for postpartum haemorrhage. Women at risk should deliver in units where specialist assistance, operating facilities, and blood and blood products are available. If haemorrhaging persists, despite treatment with Syntocinon and Syntometrine, specialist assistance should urgently be sought.