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Makerere University College of Health Sciences
The document defines primary and secondary PPH, presents prevalence data for Uganda and sub‑Saharan Africa, and lists comprehensive risk factors. It details a first‑response bundle (MOTIVE) including uterine massage, oxytocics, tranexamic acid, IV fluids, and early exploration for tears. Subsequent sections describe mechanical and surgical interventions such as uterine balloon tamponade, non‑pneumatic anti‑shock garments, and refractory procedures, emphasizing timely action within the ‘golden hour’ to improve maternal outcomes.
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