3. Responsibilities
Obstetric and midwifery staff are responsible for recognising and promptly managing postpartum
haemorrhage, for collaborating with other clinicians necessary for the woman’s care, escalating to senior
clinicians in cases of major PPH.
Senior medical staff (on-call Obstetric Consultant) are responsible for attending all cases of major PPH or
on request.
Anaesthetic staff are responsible for providing and advising on clinical care in cases of major PPH when
intensive monitoring and resuscitation are required.
The Haematology Consultant should be consulted early to co-ordinate the provision of blood products and
provide advice regarding transfusion support and management of coagulopathy..
Other available specialists such as Gynae/Oncology Consultant should be consulted early when bleeding is
intractable, where hysterectomy or ligation/embolisation of uterine arteries are being considered.