Patient discussions

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

Tailor patient discussion to the specific complications, if any, that occurred during the woman's postpartum course as a result of PPH. For example:

  • Counsel patients who experience postpartum anaemia on the importance of continuing iron supplementation if prescribed, as well as seeking medical attention if they experience symptoms of anaemia.[158][159] See Iron deficiency anaemia.

  • Counsel patients who experienced, or are at high risk for developing, postoperative infection from surgical treatment for PPH on the importance of seeking medical attention if they identify any signs and symptoms of infection.

Postpartum care should include nutritional support, including a balanced diet rich in iron, folate, and vitamin B12.

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]

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

Advise the woman that a history of PPH is a risk factor for PPH in future pregnancies, hence risk assessment will be an important part of future antenatal care.

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