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Introduction to postpartum haemorrhage

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In the 2006–2008 report of the UK Confidential Enquiries into Maternal Deaths, obstetric haemorrhage remained an important cause of maternal death, despite the decline in numbers of cases. Compared with the two previous reports, the number of
deaths from postpartum haemorrhage (PPH) has halved to five cases.

The report also re-emphasised that management of PPH requires the involvement of a skilled multidisciplinary team with the appropriate experience as early as possible.


Data from CMCE. Saving Mothers’ Lives: reviewing maternal deaths
to make motherhood safer: 2006–08. BJOG 2011;118:1–203. Enlarge

This tutorial provides an overview to help you improve your understanding of PPH management.

Learning objectives

When you have completed this tutorial you will be able to:

  • recognise the importance of defining the severity of PPH
  • identify risk factors that contribute to PPH
  • understand the importance of treating anaemia during the antenatal period
  • apply the knowledge effectively in clinical practice
  • understand strategies for PPH prevention
  • appreciate the importance of a clear multidisciplinary management protocol

Last updated: 01/06/11 (two new pages of preliminary assessments and seven new pages of final assessments were added)

10/03/11 (tutorial was rvised and updated by Ismail Hassan and Khaled Ismail)

27/01/10 (new section on the morbidly adherent placenta added by Audrey Long)

17/11/08 (BJOG paper added in Caesarean hysterectomy section).

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