Prolonged Field Care Podcast

Prolonged Field Care Podcast 245: Postpartum Hemorrhage

Sep 1, 2025
Jessica, known as the Combat Midwife, is a paramedic and midwife with expertise in maternal-child care. In this engaging conversation, she discusses critical issues surrounding postpartum hemorrhage, highlighting its status as a leading cause of maternal death. Jessica breaks down the mismanagement of obstetrics, emphasizes the importance of understanding the natural process of birth, and shares practical tips for effective labor management. She also introduces her Emergency OB Kit and valuable educational resources for improving maternal care.
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INSIGHT

Mismanagement Drives Maternal Harm

  • Postpartum hemorrhage and infection are leading causes of maternal death worldwide according to WHO data.
  • Jessica warns mismanagement of normal birth physiology is a major contributor to these outcomes.
ANECDOTE

Interventions Create Cascading Problems

  • Jessica compares micromanaging birth to micromanaging breathing to show its harm.
  • She uses a Hegelian dialect example: interventions create new problems requiring more interventions.
INSIGHT

Let Physiology Lead Labor

  • Birth is a normal physiological process that we should avoid micromanaging.
  • Interventions (induction, high C-section rates, repeated stimulation) create downstream problems like uterine atony.
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