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Follow up Q&A

A: There hasnt been a NICE or RCOG review of guidance since 2017. There is increasing evidence that VHA is benificial but there is a question about cost effectivness. This will be part of the OBS UK study and hopefully guidence will change. By the end of the OBS UK study at least 50% of units will have VHA

A: <500ml vaginal birth and <1000ml after CS.

The inportant thing is to recognise when blood loss accumulates above these thresholds and PPH management escalated quickly.


We have always used fibrinogen concentrate but this is not widly available

We use 4g FIBTEM 7-11 and 6G FIBTEM<7mm

This is equivelent to 2 or 3 pools of cryo. 

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