Secondary post-partum haemorrhage: Challenges in evidence-based causes and management

30 August 2018


Secondary post-partum haemorrhage: Challenges in evidence-based causes and management


Isaac A. Babarinsa, Richard G. Hayman, Tim J. Draycott

Published journal

European Journal of Obstetrics & Gynecology and Reproductive Biology


Secondary postpartum haemorrhage is an important post-natal issue, whose significance is perceived differently between practices, settings and probably within cultures.

It is generally less focussed upon, in contrast to its primary counterpart.

Patients prefer that it is treated promptly, even when it is not life-threatening. Intensity of blood loss, and the lesser popularity of conservative management drive clinicians towards the active options.

Remarkably, none of the current treatment options is based on any evidence. Suction evacuation of the uterus may be complicated by life-threatening complications and blood transfusion. There are a few guidelines, and probably no protocols. In this review, we highlight salient factors to take into consideration, and propose a locally adaptable flowchart, which may be of use to General Practice doctors, Community Midwives and Obstetricians.

Related links


Babarinsa, I.A., R.G. Hayman, and T.J. Draycott, Secondary post-partum haemorrhage: challenges in evidence-based causes and management. European journal of obstetrics, gynecology, and reproductive biology, 2011.
Kjell-bubble-diagramArtboard 101 copy -

Get social


The gap in healthy #LifeExpectancy in England between women living in the 10% most affluent areas & the 10% most de…

Kjell-bubble-diagramArtboard 101 -

Work with us

We look for talented and passionate individuals as everyone at the OnlyWan has an important role to play.

View current vacancies
Artboard 101 copy 2 -

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more