Outline the causes and management of severe postpartum haemorrhage (PPH).
This question is identical to Question 17 from the second paper of 2018, and is almost identical to the very similarly structured Question 3 from the second paper of 2020. Why they went back to the 2018 format is a mystery.
Causes of PPH
It is not possible to add much to the (already comprehensive) list of causes offered by the model answer.
Management of PPH
This structure and a lot of the components are borrowed from the RANZCOG statement C-Obs 43.
Oh's Manual, Chapter 64 ("General obstetric emergencies") by Winnie TP Wan and Tony Gin, p. 684
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Alfirevic, Zarko, et al. "Use of recombinant activated factor VII in primary postpartum hemorrhage: the Northern European registry 2000–2004." Obstetrics & Gynecology 110.6 (2007): 1270-1278.
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Mousa, Hatem A., et al. "Treatment for primary postpartum haemorrhage." Cochrane Database Syst Rev 2.2 (2014): CD003249.