Acute Care 34: Postpartum Hemorrhage Algorithm
Perform uterine massage
Administer oxygen
Insert large bore IV with NS or Lactated Ringer’s
Start Oxytocin 10 units IM or 10 to 40 units/L IV
@ < 250 mL/h
Administer Methergine, 0.2 mg IM
| Is hemorrhage controlled? |  |
Yes |
|
1. Maintain IV access 2. Maintain oxytocin for 24 h 3. Monitor vital signs and bleeding |
No
Proceed to Hemabate below if
hemorrhage continues**
Perform manual
uterine exploration (consider procedural sedation)
Consider the
causes of postpartum hemorrhage
