Advice on PPH

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Hello everyone.

This is my first post so I'm kinda of nervous. I'm doing a quality management project on my Mother baby unit dealing with the occurrence of postpartum hemorrhage on my unit and protocols. Just wondering what is the blood loss (# of pads, amount of blood in cc's, etc) in a shift(8 hr or 12 hr) indicative of postpartum hemorrhage on your particular unit (for comparison). Also what are your units protocols dealing with and preventing PPH. Any help will be greatly appreciated :)

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Specializes in Community, OB, Nursery.

Where I am, an EBL of 500ml or more is called a PPH....so pretty much by default all our c/sections are PPHs. I don't know that that's the best indicator, but that's what we use.

We keep a 'postpartum hemorrhage kit' on our unit that consists of several chux, 3/4 length gloves, IV fluids, syringes/needles (methergine or Pit injection), blood filters/tubing, KY, and probably a few other things I'm not thinking of right now. We restock them after each use.

It seems we've had quite a few of these lately - so it kind of runs like clockwork. We get some help, put in a foley, stat-call the doc, get all our stuff at the bedside, and usually the doc digs out a bunch of clots and everybody's eventually fine.

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Thanks Elvish!!!!! Good things to know! :D

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