Abstract :
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.
Keyword :
Primary postpartum hemorrhage, Tranexamic acid, Atonic uterus.