Primary Postpartum Hemorrhage

- Glossary

-        Primary postpartum haemorrhage is identified when excessive bleeding in the first 24 hours post birth occurs.

-        Active Management of Third Stage of Labor (AMTSL): A set of interventions (uterotonic use, controlled cord traction, uterine massage) to prevent PPH.

-        Uterotonic Agents: Medications (e.g., oxytocin, misoprostol, ergometrine, carbetocin) that stimulate uterine contractions.

-        Tranexamic Acid (TXA): An antifibrinolytic drug used to reduce bleeding in PPH.

-        Uterine Atony: Failure of the uterus to contract adequately after birth, the leading cause of PPH.

-        Placenta Accreta Spectrum (PAS): Abnormal adherence of the placenta to the uterine wall, increasing PPH risk.

-        Balloon Tamponade: Insertion of a balloon device into the uterus to apply pressure and control bleeding.

-        B-Lynch Suture: A compression suture technique applied to the uterus to control severe bleeding.

-        Hemodynamic Instability: Clinical state of compromised circulation (hypotension, tachycardia) due to blood loss.

-        Shock Index (SI): Ratio of heart rate to systolic blood pressure; useful for early detection of shock.

-        FIGO (International Federation of Gynecology and Obstetrics): Professional body setting international guidelines on PPH management.

-        WHO (World Health Organization): Provides global recommendations for PPH prevention and treatment.