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. 2018 Apr 26;78(4):382–399. doi: 10.1055/a-0582-0122
Consensus-based Recommendation 7.E18
Expert consensus Level of consensus ++
  • Parallel administration of uterotonics

  • Vaginal examination/ultrasound (to exclude trauma, retained placenta, clot evacuation)

  • Bladder catheter

  • Use a liquid (0.9% saline, body temperature if possible) to fill the balloon tamponade – NOT air

  • Additional vaginal tamponade

  • Intensive monitoring, antibiotic prophylaxis

  • Can be left in utero for up to 24 hours