• Emergency Peripartum Hysterectomy

    Peripartum Hysterectomy ​ incidence : 0.24 to 8.9 per 1000 deliveries (1.2 to 2.7 per 1000 deliveries in USA, Europe <1)​ after vaginal delivery : 0.1 to 0.3/1000​ with CS:  0.2 to 8.7/1000 deliveries ​ higher due to risk of placenta praevia with placenta acreta in repeat c-sections​ uterine rupture : 114/1000 to 455/1000  In most cases,…

  • When Simple Measures Fail: Trouble Shooting Refractory PPH

    Trouble Shooting:  Lower Uterine Segment Bleeding​ Today we have access to a range of effective uterotonics in Canada.  Therefore, uterine atony, still the most common cause of PPH, can usually be managed medically.  However, bleeding from the lower uterine segment lacks contractile myometrium and may not respond to uterotonic agents.  Mechanical compression may be needed to control bleeding…

  • PPH – Post Test

    Congratulations!  You have completed the didactic portion of the PPH learning module.  In order to complete the requirements for your enhanced skills program, you will have an opportunity to complete a short, straightforward post test.  This is a “formative” test.  In other words, its purpose is to reassure you that…