Our Courses

Postpartum Haemorrhage (PPH)

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Introduction

The Postpartum Haemorrhage (PPH) course aims to increase your understanding of the pathophysiology, prevention and management of PPH and provide you with resources and skills that assist you in clinical practice.

It is designed for midwives, obstetricians, anaesthetists and other medical and healthcare professionals caring for pregnant women.

If your role involves prescribing a transfusion, administering blood and monitoring patients during and after a transfusion, it is recommended that you complete the Clinical Transfusion Practice course.

Learning modules

  1. Physiology of Pregnancy
  2. Cause, Prevention, Diagnosis
  3. Management of PPH
  4. Advanced Fluid Resuscitation
  5. Secondary PPH
  6. Anaemia Management

This course takes on average three hours to complete.

‘Correct management of Postpartum Haemorrhage is one of the most important things we can all do as health professionals to advance the cause of Maternal Health.’ Dr Geoff Matthews, Obstetrician

Course Details

M1 – Physiology of Pregnancy

On completion of this module you should be able to:

  • describe the haematological changes in pregnancy and the factors that affect them
  • demonstrate knowledge of iron requirements during pregnancy and the consequences of iron deficiency anaemia
  • recognise the changes that occur in the third stage of labour and the process of placental separation
  • recognise the normal variations in vaginal blood loss after birth
  • estimate blood loss using established methods.

M2 – Cause, Prevention, Diagnosis

On completion of this module you should be able to:

  • recognise the risk factors commonly associated with PPH
  • define the 4Ts and their incidence
  • list the main causes of PPH and relate these to the 4Ts
  • outline preventative measures for PPH
  • report the observations required for early diagnosis and management of PPH.

M3 – Management of PPH

On completion of this module you should be able to:

  • identify the steps required in the immediate management of PPH with a delivered or undelivered placenta
  • recognise the principles of communication in emergency situations
  • describe the actions involved in the ongoing management of PPH
  • appraise the use of first and second line pharmacological agents in treating PPH
  • explain the surgical techniques that may be required for intractable PPH.

M4 – Advanced Fluid Resuscitation

On completion of this module you should be able to:

  • recognise the signs and symptoms of hypovolaemic shock
  • respond to complications of severe PPH and initiate appropriate treatment
  • initiate appropriate resuscitation measures during severe PPH
  • apply appropriate methods of fluid resuscitation during severe PPH
  • describe the principles of massive transfusion when managing PPH.

M5 – Secondary PPH

On completion of this module you should be able to:

  • define secondary PPH and its incidence
  • recognise the causes of secondary PPH
  • describe the investigations required to diagnose secondary PPH
  • explain the treatment options available for secondary PPH
  • identify complications associated with the surgical management of secondary PPH.

M6 – Anaemia Management

On completion of this module you should be able to:

  • recognise the effect anaemia may have on a woman in the postpartum period
  • identify the factors to be considered before recommending blood transfusion for anaemia
  • describe the iron preparations that are most commonly prescribed for iron deficiency anaemia
  • discuss the implications IV iron can have on successful management of anaemia
  • discuss the risks associated with blood transfusion.

 

This course was released Oct 2011 (currently under review).
The content is based on current clinical guidelines, other evidence-based material and/or expert opinion. We regularly review our courses to reflect any changes in these source materials.

Endorsement & CPD

BloodSafe eLearning Australia seeks endorsement and allocation of CPD points for courses from medical, nursing and midwifery colleges, societies and healthcare organisations. Further information on professional organisations and CPD points is provided below.

Endorsement

ranzcog crest as icon RANZCOG
Victorian Blood Matter Logo Oct 11_BM-001 Blood Matters Program, Victoria
Queensland Health

Continuing Professional Development (CPD)

ranzcog crest as icon RANZCOG
The Royal Australian and New Zealand College of Obstetricians and Gynaecologist (RANZCOG) recommends claiming one CPD point per hour of educational activity in the Self-Education Category of the RANZCOG CPD Program. User evaluation of the Postpartum Haemorrhage course demonstrates on average it takes approximately three hours to complete all six modules. Therefore it is recommended that three hours be recorded for the purpose of self-directed CPD. Fellows will need proof of their participation, which is usually a certificate of completion that can be printed out on completion of the activity.
ANZCA logo_2014 Australian and New Zealand College of Anaesthetists (ANZCA)
Participants in the ANZCA CPD Program may claim this online major haemorrhage course as an emergency response activity in their CPD portfolio.
Recognition code: ER-14-MH-020
MIDPLUS logo (175) Australian College of Midwives
An allocation of 3 MidPLUS Points has been approved for midwives who complete this activity (equivalent to the number of actual activity hours).
NMBoard_web Nursing and Midwifery Board of Australia
Under continuing professional development (CPD) standards set by the Nursing and Midwifery Board of Australia one hour of active learning equals one hour of CPD. User evaluation of the Postpartum Haemorrhage course, demonstrates that on average it takes approximately three hours to complete all six modules in this package. Therefore it is recommended that three hours be recorded for the purpose of self-directed CPD.
Other Professions and Medical Specialties
User evaluation of the Postpartum Haemorrhage course, demonstrates that on average it takes approximately three hours to complete all six modules in this package. Therefore it is recommended that three hours be recorded for the purpose of CPD.

Assessment

The is an online assessment of six multiple choice questions at the end of each module within the

Postpartum Haemorrhage course.

A minimum grade of 66% (four out of six questions correct) is required to complete each module.

A certificate will be automatically emailed to your registered email address after you have successfully

completed the assessment for all modules.

If you don’t pass a module assessment, you can redo it as many times as you need. It is recommended

you revisit the learning content because the assessment questions may change for each attempt.

You must complete the assessment for this course within three months. If not, then the assessment will need to be commenced again.

You can see a summary of the courses and modules you have successfully completed in My Certificates

or via the Course certificates link on the My courses page.

Development Team

Project Team

Mr David Peterson: Program Manager
Ms Trudi Verrall: Clinical Education Lead
Ms Elaine Bell: Director Nursing and Midwifery Education
Ms Michele Wood: Project Officer
Ms Michelle Abbott: Clinical Education Officer

 

Midwifery Project Management

Ms Allison Rogers

 

Peer Review Group

Thanks to Dr Adele Crowley, Dr Fiona Cullinane, Dr Nolan McDonnell, Dr Shona Osborn, and Dr Helen Savoia and the wider group of health professionals who provided evaluation and feedback during the development process.

 

Subject Matter Experts

Ms Allison Rogers: Registered Midwife
Dr Kym Osborn: Consultant Anaesthetist
Dr Geoff Matthews: Consultant Obstetrician
Dr Sue Kennedy-Andrews: Consultant Obstetrician
Dr Kathryn Robinson: Consultant Haematologist
Ms Beverley Page: Registered Midwife
Prof Marc Keirse: Consultant Obstetrician
Dr Steven Scroggs: Consultant Obstetrician

 

Expert Interviews

Thanks to Dr Geoff Matthews and Ms Jan Prider for their willingness to be a part of this program.

 

Others Involved in Clinical Videos

Mother: Jane Haley

Father: Peter Keros

Thanks to Michelle Abbott, Catherine Ebel, Beverley Gloede, Norelle Groeschel, Jonathan Hopkinson, Andrea McLay, Trudi Verrall, Allison Rogers and the hospital patients who agreed to be photographed.

 

Educational Design

David Peterson
Richard Sprod

 

Production Team

Production Studio: Digital Media Unit, Centre for Education and Training, Women’s and Children’s Health Network, Adelaide, South Australia.
Production Mentor: Ian Bone
Interactive Design and Development: Peter Bailes
Web Development: Zoe Bogner
Graphic Design: Erin Baldock, Matthew Casburn & Lauren Mullinder
Photography: Carly Emerson & Chris Sprod
Video Photography and Production: Chris Sprod & Richard Sprod
3D Animation: Peter Bailes
Editor: Helen Snoswell
Learning Management System: Brightcookie Pty Ltd

 

Funding for BloodSafe eLearning Australia has been provided by all Australian Governments via the National Blood Authority