Monitoring

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Multidisciplinaire richtlijn Postpartumzorg in de eerste lijn (deel 1)Published by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2022Guideline multidisciplinaire des soins postnatals dans la première ligne de soins (partie 1)Published by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2022Multidisciplinaire richtlijn Postpartumzorg in de eerste lijn (deel 2)Published by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2024Guideline multidisciplinaire des soins postnatals dans la première ligne de soins (partie 2)Published by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2024

Patients who have experienced PPH are at increased risk for postoperative infection, anaemia, and lactational delay or failure, and may benefit from closer postpartum follow-up than the routine 6 week postpartum visit. World Health Organization guidelines for postnatal care recommend routine evaluation of all women and infants at 48-72 hours, 1-2 weeks, and 6 weeks postpartum.[163]

Patients with significant postpartum anaemia as a result of PPH may require outpatient treatment with intravenous or oral iron to replete iron stores, with a repeat assessment of their blood count postpartum.[36] In some cases where the woman is symptomatic, a transfusion of red blood cells may be offered.[3]

For patients who received massive transfusion of blood products as part of PPH management, venous thromboembolism (VTE) prophylaxis is recommended because of the increased risk for VTE.[2][36]

Ensure the woman has an opportunity to discuss the events surrounding their delivery and to address any fears about the likelihood of a repeat of PPH in a subsequent pregnancy.[4] Monitor for any signs of postnatal depression.

  • Women who have experienced obstetric emergencies may be affected by postnatal depression or fear of further childbirth.[4] See Postnatal depression.

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