Post-abortion Hemorrhage Management Algorithm
Cervical laceration
→ Direct pressure, silver nitrate for small laceration
→ Repair with absorbable sutures if larger/not easily controlled
Uterine atony or unsure of cause
→ Fundal massage, Begin uterotonic agents while obtaining OBGYN consult
RPOC or hematometra
→ Repeat D&C
Ectopic pregnancy or uterine perforation
→ Laparotomy or Laparoscopy and Repair
Clinical or laboratory evidence of coagulopathy or DIC
→ Immediately transfuse products and contact Critical Care team for massive transfusion protocol, ICU admission.
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