Skema penanganan perdarahan postpartum

Bleeding Relaxed uterus Placental in Manual removal Placental out Uterine massage and uterotonics Bleeding removed Not removed (accreta) Surgical repair Contracted Abnormal Laparotomy 1.Hypogastric arteri ligation 2.Uterine artery ligation 3. Hysterekstomi 4. Repair of uterus No bleeding Replace defect Normal Evaluate coagulation Uterus contracted Inspect for lower genital laceration

Present

Absent

continiu ocsitosin

Pack uterus

Not contracted

continiu ocsitosin

Inspect uterus Laceration

No Pathology

Placenta Tissue

Manual removal andn curettage

sumber : Fadel 1988

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