Primary Postpartum Haemorrhage Following Home Birth

On arrival

Mother pale and anxious, midwife performing uterine massage, significant blood loss estimated over 700 mL on pads and floor, placenta not yet delivered.

Initial observations

Airway

Patent

RR

26

SpO2

96% on air

Pulse

128 thready

BP

86/52 mmHg

Uterus

Boggy, poorly contracted on palpation

Blood loss

Estimated over 700 mL, ongoing