Identifying high-risk factors and active management of the third stage of labor

Abstract

Postpartum hemorrhage is the leading cause of maternal mortality and morbidity, associated with booking status, parity, and uterine atony.  Identifying high-risk factors and active management of the third stage of labor is key to the prevention of PPH. It is very important to assess postpartum blood loss, identify the etiology, and strict adherence to predefined protocol in order to reduce maternal morbidity and mortality that can result from postpartum hemorrhage. A serious postpartum hemorrhage requires teamwork and there are many things to be done at the same time by     a limited number of people, hence hospital management should emphasize the predefined protocol to be followed in managing a patient with postpartum hemorrhage so that every patient is managed appropriately without any delay of time.