OBSadvanced
Place the following clinical steps in the correct order for the management of a patient presenting with heavy secondary postpartum haemorrhage (PPH) and suspected retained tissue complicated by sepsis.
Answer
Resuscitate and assess clinical severity, Administer broad-spectrum intravenous antibiotics, Perform examination and exploration under anaesthesia, Evacuate retained tissue and send specimens for histopathology
Explanation
Management begins with stabilization and severity assessment, with antibiotics when infection is suspected. Examination and exploration can identify retained tissue or genital-tract trauma; removed tissue is sent for histology and microbiology/culture as appropriate. **Key takeaway:** Stabilize, treat infection, identify the source, and investigate removed tissue.\n\n**Glossary:** **Histology**: microscopic examination of tissue.
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