Main findings
The algorithm for third stage abnormalities is led into from the Normal
third stage management algorithm in chapter 3. It was subdivided into
four interlinked algorithms: an approach to PPH after vaginal delivery,
uterine atony, genital tract trauma and retained placenta/placental
products. Key themes running through each algorithm were maternal
assessment, monitoring and resuscitation, and treatment, all of which
need to be intensified with worsening haemodynamic status.