Postpartum Haemorrhage: Non-pharmacological Treatment for Primary Care Midwives

• Duration: 60 Mins
• Credits: 1 CERP, 1 R-CERP, 0.1 Midwifery CEU
• Handout: Yes

Abstract:

Postpartum haemorrhage (PPH) is one of the most preventable causes of maternal death, yet it still ranks as one of the main conditions responsible for maternal mortality. PPH has serious adverse effects on maternal health including death, adult respiratory distress syndrome, coagulation disorders, shock, hysterectomy and loss of fertility. As bleeding after delivery is expected, women often do not realize the seriousness of their condition until it is too late and often do not survive to be referred to a more specialized level of care.

The diagnosis and management of PPH is complex, with the main challenge being the visual assessment of blood loss. As women are not able to warn healthcare providers timeously about their condition, the situation is compounded by poor clinical assessments, a lack of accuracy in diagnosis, lack of resources, and differing methods of treatment . Most of the primary maternity care in South Africa is provided by midwives, and the overall quality of care during the management of PPH is poor. In addition, the scope of practice of midwives is limited. Unless a registered midwife has a prescribing license, they may not administer any medications, with the exception of oxytocin. Midwives may also not perform any surgical interventions.

The purpose of this presentation will be to present evidence-based, effective, non-pharmacological methods of treating postpartum haemorrhage, which primary care midwives may find valuable in their practice.

Learning Objectives: