【正文】
pulse ? blood pressure ? maternal heart rate ? central venous pressure ? urine output ? Lab tests: ? Hb, ? BT(bleeding time), CT( clotting time), ? platelets count ? fibrinogen ? prothrombin time and patial thromboplastin time ? FDP ? women’s group and crossmatching Treatment: ? the key is correcting the coagulation defect ? resuscitation must be started as soon as possible ? infusion of crystalloid(saline) and Dextran is started firstly while arranging the blood transfusion ? blood transfusion is essential ? infusion of platelets, fresh frozen plasma, FDP , clotting factors, ? Potential plications of PPH: ? Postpartum infection ? Anemia ? Transfusion hepatitis, ? Sheehan’s syndrome ? Asherman’s syndrome ? The best management of PPH is prevention Key words ? the definitio n of HHP ? The causes of HHP ? treatment methods of Uterine atony ? the types of retained placenta ? the degrees of the perineal and vaginal laceration