Dr. Chapa’s Clinical Pearls. FOCUS For PPH: A DIY Approach
Jul 2, 2025
Postpartum hemorrhage (PPH) is a pressing issue that requires swift assessment through the '4Ts.' New research reveals lasting health risks associated with PPH, including increased cardiovascular disease. Intriguingly, a low-cost, effective method involving a Foley catheter and vacuum suction emerges as a potential game changer. This innovative approach not only offers accessibility but also highlights the importance of early intervention in managing PPH. The conversation dives into practical applications and compelling case studies supporting this method.
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PPH Increases Long-Term Health Risks
- Postpartum hemorrhage (PPH) increases long-term cardiovascular and thromboembolic risk by about 1.76 times.
- This reveals the need for proactive postpartum care to reduce future health complications.
Early Assessment at 500ml Bleeding
- Start evaluating bleeding at 500 ml by assessing the "4 Ts": tone, trauma, tissue, thrombin.
- Act swiftly to prevent progression to full PPH and give tranexamic acid early if bleeding worsens.
FOCUS: Low-Cost PPH Control
- Use the FOCUS technique: a Foley catheter connected to vacuum suction for PPH control.
- This method is low-cost, widely available, and works even at early gestational ages unlike Jada or Bakri balloons.