Postpartum Haemorrhage: A Case Series Highlighting Diverse Clinical Profiles and Evolving Management Strategies in a Tertiary Care Setting

Background: Postpartum haemorrhage (PPH) has long remained one of the most dreaded emergencies in obstetrics. Although numerous risk factors have been identified, PPH can unpredictably occur in any labouring woman, transforming an otherwise uneventful delivery into a life-threatening situation. Despite the availability of multiple pharmacological and surgical options, PPH continues to be a leading cause of maternal morbidity and mortality worldwide. Case Description: As a tertiary health-care centre, we receive numerous referrals from peripheral facilities with varied presentations and stages of PPH. In this study, we present a series of such cases, highlighting the diversity in clinical manifestations and the tailored multimodal interventions employed to prevent long-term morbidity and mortality. Our experience underscores the importance of timely decision-making, individualised treatment strategies, and a multidisciplinary approach in improving maternal outcomes in PPH. Conclusion: With advancements in medical science, several uterotonic agents and interventional procedures—such as SR cannula (Samantha Ram cannula), balloon tamponade, uterine devascularization, compression sutures, and, as a final resort, peripartum hysterectomy—have expanded the armamentarium against PPH. Selection of the appropriate management strategy is guided by the patient's clinical profile, the type and severity of haemorrhage, and laboratory parameters.

Keywords: Postpartum haemorrhage, SR cannula, maternal morbidity.