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Madeira Medical Center
UGMM Atendimento MédicoPode ainda contactar-nos através do 282 42 04 00 Algarve | 269 630 370 Alentejo | 291 003 300 Madeira
(Chamada para a rede fixa nacional)Request Appointment/Request Exam - After completing the respective forms, these requests will be processed by our services, and you will receive confirmation by email. The indications about the Agreements (Insurance/Subsystem) are merely informative, please request confirmation in the "Observations" field.
Schedule Appointment/Exam myHPA - By accessing myHPA Saúde you can make the appointment in real time, directly on the Doctor's schedule according to his availability.
You can also contact us at +351 282 420 400 Algarve | +351 269 630 370 Alentejo | +351 291 003 300 Madeira
(National landline)
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Obstetrician Gynaecologist
Sub specialist in Maternal Fetal Medicine
Director of the Gynecology & Obstetrics Unit
HPA Magazine 22 // 2024
Secondary PPH occurs between 24 hours and 6 weeks after birth.
PPH is a potentially fatal complication of vaginal births and caesarean sections.
In addition to maternal death, PPH can result in:
• anaemia
• prolonged hospital stays
• delay or failure in breastfeeding
• pituitary infarction
• need for blood products
• haemorrhagic shock and hypotension
• coagulopathy
• acute tubular necrosis/renal failure
• surgical intervention and even hysterectomy
Maternal death is the most serious complication of PPH (25% of all maternal deaths) and can occur “silently”. Therefore, early detection is essential, with an appropriate response and approach in order to improve the outcome, thus avoiding a negative outcome.
A significant number of women who survive severe PPH develop physical and/or emotional sequelae.
Aware that PPH requires prevention and a quick and systematic response to make a difference, in our Service we carry out annual training in Obstetric Emergencies, which includes PPH.
in order to develop skills that allow early recognition and treatment, which are essential in Obstetric Emergencies.
Obstetric emergencies are rare events.
In training, participants can make mistakes, reflect, and learn from them, without exposing the patient to any risk. It is a test of processes to identify and potentially determine gaps in our Service, our teamwork, our communication, and the overall security of the care we provide.
It is also an opportunity to learn and ask questions in a safe environment.