Introduction to PPH
Components
Inserting Ellavi
Monitoring & Management
Transport
Managing without a drip stand
Removal
C-Section Protocol
introduction to pph
Postpartum haemorrhage (PPH), defined as vaginal bleeding in excess of 500 mL after delivery, accounts for most cases of obstetric haemorrhage.
- Most cases of primary PPH are caused by uterine atony, often a result of prolonged labor, grand multiparity, large babies, multiple pregnancy or a history of PPH in a previous pregnancy.
- The risk of death is greatest for women who are anaemic or have other underlying health problems that make them less able to deal with blood loss.
- Most cases of severe PPH can be prevented if the bleeding is controlled and managed immediately. This is often accomplished by administering uterotonics.
- However, this and other options sometimes fail to control severe PPH or are not available.
For this reason, effectively reducing complications and death due to PPH requires a combination of approaches as well as the adoption of second line interventions that are appropriate for both low and high resource health care settings. Uterine balloon tamponade (UBT) is one promising option.
ellavi ubt is used to treat pph due to uterine atony and as a temporising measure for bleeding due to other causes
temporising bleeding
For other causes, such as cervical tears, Ellavi balloon can be placed in order to gain time until the patient can receive more appropriate treatment, such as in the following circumstances:
- when patient transfer is required
- when an operating room is not immediately available
- when it takes time for the uterus to regain contractility
- when abnormal blood coagulation is being restored