Optimal management of postpartum hemorrhage

Objective To review the management of postpartum hemorrhage (PPH). Methods Fifteen cases of severe PPH were retrospectively analyzed for clinical parameters and management. Results Nine patients had a hysterectomy while selective arterial embolization was carded out in 7 cases. One patient had focus clearance. The main causes of postpartum hemorrhage requiring operative management were disseminated intravascular coagulation (DIC), uterine arteriovenous fistula and malformation, placental abnormality, uterine myoma and laceration. Conclusion Upon recognition of postpartum hemorrhage, the most effective management should be initiated. Every effort should be made to stabilize the patient and maintain her reproductive capability.