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Outline for diagnosis and management of immediate postpartum hemorrhage

Bleeding

Relaxed uterus

Uterus contracted

Placenta in

Placenta out

Inspect for lower genital lacerations

Manual removal

Uterine massage & oxytocics

present

removed

Not contracted

Surgical repair

Continue oxytocin

Inspect uterus

absent

Not removed (accreta)

laceration

Evaluate coagulation

Pack uterus Laparatomy*

No pathology

abnormal

bleeding

Replace defect

Placental tissue

normal

Manual removal & curretage

contracted

Not bleeding

Continue oxytocin

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