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. 2022 Sep 12;14:1307–1313. doi: 10.2147/IJWH.S273043

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© 2022 Janbain and Kouides.

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Interventions in post partum hemorrhage. Direction of arrow depicts escalation of therapy if worsening PPH with obstetrical interventions in green and hemostatic interventions in red (Fibrinogen replacement in case of low fibrinogen levels and DIC, recombinant VIIa used as last resort to control hemostasis). *Denotes consideration in prevention of PPH if underlying bleeding disorder and/or placental previa, twin gestation, or antepartum hemorrhage. **Fibrinogen to be replaced if low, recombinant VIIa to be considered if bleeding is still not controlled before moving to hysterectomy.