The three main principles of management of PPH are:
Stop the bleeding,
Treat shock, and
Obtain help.
Table 4 shows a clinical pathway for management of
PPH. When PPH is identified, the likely cause must be
determined so that appropriate action may be taken.
Subsequent actions should take place as simultaneously
and as quickly as possible. While the uterus and genital
tract are explored to identify cause of bleeding,
measures such as monitoring vital signs, catheterization,
administering oxygen and placing an IV, may be
commenced.9 The order in which steps are taken may
vary depending on the specific circumstances and the
resources available.