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A primary postpartum haemorrhage (PPH) occurs within the first 24 hours following
delivery and a secondary PPH occurs between 24 hours and 12 weeks postpartum.
Secondary PPH occurs in just under 1% of women, and it is associated with
primary PPH and retained placenta, and may result in significant maternal morbidity.
This problem deserves more attention than the given in recent years. Data
are not available from developing countries.
Key messages
􀃎 Secondary postpartum haemorrhage may result in significant maternal morbidity
and could be the cause of maternal death.
􀃎 There is insufficient evidence that inform the appropriate management of
women with secondary postpartum haemorrhage.
􀃎 More randomised controlled trials are needed for comparing the various
therapies for women with secondary postpartum haemorrhage as well as its
safety.


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