Placenta by increasing uterine contractions and to prevent pph by averting uterine atony fogsi recommends that active management of third stage of labor amtsl should be offered to all women during childbirth since it reduces the incidence of post partum hemorrhage due to uterine atony. Re guidelines on post partum haemorrhage the figo committee for safe motherhood and newborn health has just published guidelines on post partum haemorrhage pph entitled prevention and treatment of pph in low resource countries that will appear in the international journal of gynecology and obstetrics in may 2012. Management of postpartum haemorrhage c obs 43 3 1 patient summary heavy bleeding after a baby is born postpartum haemorrhage is a complication of pregnancy that has the potential to be very serious even resulting in death in rare cases some women will have risk factors for heavy bleeding but most will not. Postpartum hemorrhage pph is the leading cause of maternal mortality all women who carry a pregnancy beyond 20 weeks gestation are at risk for pph and its sequelae although maternal mortality rates have declined greatly in the developed world pph remains a leading cause of maternal mortality
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