Old And Recent Management Of Post Partum haemorrhage

• Review what has been published about postpartum haemorrhage concerning etiology, diagnosis, prevention and management.• Review the recent advances in the management of postpartum haemorrhage, e.g. use of misoprostol, the B-Lynch surgical technique and Hayman modifications for this technique, stepwise devascularisation and arterial embolotherapy.Postpartum hemorrhage (PPH) is defined as excessive blood loss per vagina more than 500 ml ;if occurring in the first 24 hours after delivery it is called primary PPH but if after 24 hours till the end of the purperium it is known as secondary PPH .Postpartum hemorrhage is a major obstetric problem, it is the leading cause of maternal mortality in developing countries and still an important cause of maternal mortality in developed countries.Causes of primary postpartum hemorrhage is uterine atony ,placental site bleeding, trauma to the genital tract and coagulation defects.Postpartum hemorrhage (PPH) is defined as excessive blood loss per vagina more than 500 ml ;if occurring in the first 24 hours after delivery it is called primary PPH but if after 24 hours till the end of the purperium it is known as secondary PPH .Postpartum hemorrhage is a major obstetric problem, it is the leading cause of maternal mortality in developing countries and still an important cause of maternal mortality in developed countries.Causes of primary postpartum hemorrhage is uterine atony ,placental site bleeding, trauma to the genital tract and coagulation defects.