Postpartum hemorrhage is defined as blood loss of ≥500 mL for vaginal delivery after completion of the 3rd stage of labor while for cesarean delivery, the cut-off is 1000 mL.
It may present as either early (primary) or late (secondary) postpartum hemorrhage.
Postpartum hemorrhage may produce hemodynamic instability during the 1st 24 hours after delivery.

Postpartum Hemorrhage References

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  3. Firouzbakht M, Kiapour A, Omindar S. Prevention of postpartum hemorrhage by rectal Misoprostol: a randomized clinical trial. J Nat Sci Biol Med. 2013 Jan;4(1):134-137. doi: 10.4103/0976-9668.107277. PMID: 23633849
  4. Lalonde A; International Federation of Gynecology and Obstetrics. Prevention and treatment of postpartum hemorrhage in low-resource settings. Int J Gynaecol Obstet. 2012 May;117(2):108-118. doi: 10.1016/j.ijgo.2012.03.001. PMID: 22502595
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  7. Leduc D, Senikas V, Lalonde AB, et al. Active management of the third stage labour: prevention and treatment of postpartum hemorrhage. J Obstet Gynaecol Can. 2009 Oct;31(10):980-993. PMID: 19941729
  8. Schuurmans N, Mackinnon C, et al. Prevention and management of postpartum hemorrhage. J Soc Obstet Gynaecol Can. 2000;22(4):271-281.
  9. Shane B; Program for Appropriate Technology in Health (PATH). Preventing postpartum hemorrhage: managing the third stage of labor. Outlook. 2001 Sep;19(3):1-8
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  13. MedWorm
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  19. Smith JR, Brennan BG. Postpartum hemorrhage. eMedicine. Accessed 04 Jun 2010.
  20. Yiadom MY, Carusi D. Pregnancy, postpartum hemorrhage. eMedicine. Accessed 04 Jun 2010.
  21. Tunçalp Ö, Hofmeyr GJ, Gülmezoglu AM. Prostaglandins for preventing postpartum haemorrhage. Cochrane Database Syst Rev. 2012;8:CD000494. doi: 10.1002/14651858.CD000494.pub4. PMID: 22895917
  22. Belfort MA. Overview of postpartum hemorrhage. UpToDate. 29 Mar 2017.
  23. Mavrides E, Allard S, Chandraharan E, et al on behalf of the Royal College of Obstetricians and Gynaecologists. Prevention and management of postpartum haemorrhage: Green-top guideline no. 52. BJOG. 2017 Apr;124(5):e106-e149. doi: 10.1111/1471-0528.14178. PMID: 27981719
  24. Chandraharan E, Krishna A. Diagnosis and management of postpartum haemorrhage. BMJ. 2017 Sep 27;358:j3875. doi: 10.1136/bmj.j3875. Accessed 24 Sep 2018. PMID: 28954732
  25. Demers C, Derzko C, David M, et al. No. 163-Gynaecological and obstetric management of women with inherited bleeding disorders. J Obstet Gynaecol Can. 2018 Feb;40(2):e91-e103. doi: 10.1016/j.jogc.2017.11.036. PMID: 29447730
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