Atonic PPH in a referred case: Keys to manage

According to WHO, primary Postpartum hemorrhage is commonly defined as blood loss more than 500 ml after normal vaginal delivery within first 24 hours. A 28 years old multigravida woman with P3 L3 came to the obstetrics department with a history of heavy bleeding per vagina soon after normal vaginal delivery. She was diagnosed as case of primary PPH (Atonic PPH) with severe anemia at post-partum day two of vaginal delivery. Patient’s routine and specific investigations were sent after admission. She was treated with drugs like uterotonics, antibiotics, bimanual massage, balloon tamponade and blood transfusion. She was discharged in a stable condition. Early detection and prompt treatment are the keys to reduced maternal mortality ratio by managing postpartum haemorrhage. Keywords: Primary postpartum hemorrhage, Tranexamic acid, Atonic uterus.