Professional Documents
Culture Documents
SKILLED SUPERVISION
PROMPT DETECTION
EFFECTIVE INSTITUTION OF
THERAPY.
Placental site bleeding
Palpate the fundus and massage(placing four fingers
behind the uterus and thumb infront)
( if bleeding continues)
- Give antibiotics
- If Features of placental separation
If remains atonic
STEP 2
Exploration of uterus under GA
Blood transfusion
continue oxytocin drip
still atonic
15 methyl PGF2α 250 µg im
Or
Misoprost 1000 µg per rectum
If bleeding continues