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Written in association with the Federation of Obstetric and Gynaecological Societies of India (FOGSI), and with contributions from a multitude of recognised experts led by FOGSI (2025-2026) president Sunita Tandulwadkar; the Ethical Evidence-based Recommendations (EEBR) series provides clinicians with the latest updates and advances in the field, with each book focusing on a different subspecialty.
Postpartum haemorrhage (PPH) is severe or excessive bleeding after childbirth. It is a serious and potentially life threatening condition and may occur soon after delivery, or up to 12 weeks postpartum. PPH remains one of the most significant challenges in obstetrics. Early detection and prompt treatment are crucial for full recovery.
The EEBRs in this book begin with an explanation of definitions and terminologies, followed by discussion on risk identification. The text outlines protocols to help detect women at higher risk of PPH, allowing pre-emptive measures to be put in place. The review then addresses preventive and medical management strategies, including pharmaceutical options for controlling haemorrhage; and haemo-resuscitation guidelines ensuring practitioners can respond swiftly to blood loss with life-saving interventions.
Other titles in the series include:
- Antenatal Fetal Surveillance
- Endometriosis
- Fibroids
- Genetics in Obstetrics and Gynaecology
- Hyperglycemia in Pregnancy
- Hypertensive Disorders of Pregnancy
- Induction of Labour
- Polycystic Ovary Syndrome
- Preterm Labor
Sunita Tandulwadkar MD (Obs and Gynae) FICS (Gynae-Endoscopy) FICOG President FOGSI (2025-2026)
Gynaecological Endoscopist and ART & IVF Specialist; Head, Department of Obstetrics and Gynaecology; Chief, IVF & Endoscopy Centre, Ruby Hall Clinic, Pune; Founder and Medical Director, Solo Clinic IVF - A Centre for Excellence in Infertility and Endoscopy, Pune; Founder and Medical Director, Solo Stem Cells - A Stem Cell Research and Application Centre, Pune; Founder and Director, Alive Regenerative Wellness, Pune, Maharashtra, India
Sheela Mane MD FRCOG FICOG FICMCH
Consultant, Anugraha Nursing Home, Bengaluru; Professor, Department Obstetrics and Gynaecology, DNB Faculty, KC General Hospital, Bengaluru, Karnataka, India; Vice Chair, ICOG 2024
Sushil Chawla MS DNB MNAMS FICOG FAIMER Fellowship
Professor and Head, Department Obstetrics and Gynaecology, INHS Asvini, Mumbai, Maharashtra, India
Mahesh Gupta MD (Gynae)
High Risk Pregnancy Expert, Pushpam and Matis Multi-Speciality Hospital, Tertiary Referral Centre for Placenta Acreta Spectrum, Ahmedabad, Gujarat, India
Manish R Pandya MD FICOG FICMH PhD
Professor and Head, Department of Obstetrics and Gynaecology, Mahavir Hospital and Manish IVF Centre, Surendra Nagar, Gujarat, India
Pooja Lodha DNB (Obs and Gynae) Fellow Foetal Medicine FOGSI-FMF UK Certified
Lead Consultant, Department of Foetal Medicine, Ruby Hall Clinic and Bharati Vidyapeeth University and Hospital, Pune; Director, Kangaroo Cradle, Foetal Care Centre, Pune, Maharashtra, India
1. Introduction
2. Background of Postpartum Hemorrhage
3. Definition and Terminology
4. Risk Identification of Postpartum Hemorrhage
5. Prevention of Postpartum Hemorrhage
6. Medical Management of Postpartum Hemorrhage
7. Hemo-resuscitation
8. Minimal Surgical Management of Postpartum Hemorrhage
Annexure 1: Mechanical Methods for Refractory Postpartum Hemorrhage: Temporizing Measures
Annexure 2: Condom Balloon Tamponade Devices
9. Surgical Management of Postpartum Hemorrhage
10. Traumatic Postpartum Hemorrhage
11. Secondary Postpartum Hemorrhage
12. Postpartum Hemorrhage and Special Situations
13. Tools and Resources
14. Implementation and Training
15. Future More Trials Proposed for Indian Innovations