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Maternal Safety Bundle for Obstetric HemorrhageREVISED NOVEMBER 2015Disclaimer: The following material is an example only and not meant to be prescriptive. COG accepts no liability for the content
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How to fill out obstetric hemorrhage

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Step 1: Start by assessing the patient's condition and vital signs.
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Step 2: Call for immediate help and activate the obstetric hemorrhage protocol.
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Step 3: Administer oxygen to the patient and establish large-bore intravenous access.
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Step 4: Conduct a thorough examination to identify the source of bleeding, such as a vaginal or cervical laceration, placental abruption, or uterine rupture.
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Step 5: Control bleeding by applying firm pressure on the uterus, administering uterotonic medications, or performing surgical interventions like uterine artery ligation or hysterectomy.
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Step 6: Monitor the patient closely for signs of hypovolemic shock and initiate blood transfusion if necessary.
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Step 7: Continuously reassess the patient's condition and response to treatment, adjusting interventions as needed.
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Step 8: Provide emotional support to the patient and ensure adequate postpartum care and follow-up.

Who needs obstetric hemorrhage?

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Obstetric hemorrhage may occur in pregnant women during labor, delivery, or the postpartum period.
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It can be caused by various factors such as uterine atony, placental abnormalities, coagulation disorders, or trauma.
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Any pregnant individual can potentially experience obstetric hemorrhage, so all obstetric patients should be closely monitored for signs of bleeding and receive appropriate management.
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Obstetric hemorrhage is excessive bleeding during pregnancy, childbirth, or the postpartum period.
Healthcare providers, hospitals, and birthing centers are required to report cases of obstetric hemorrhage.
Obstetric hemorrhage reports can be filled out electronically or on paper forms provided by health departments.
The purpose of reporting obstetric hemorrhage is to track and monitor cases for public health surveillance purposes.
Information such as the patient's demographics, medical history, details of the hemorrhage event, and outcomes must be reported.
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