All of the following are the methods for prevention of post partum hemorrhage, except?

PGIMS Rohtak NO - 2017

Obstetrics & Gynaecology

Medium

Appeared in: PGIMS Rohtak NO - 2017

Explanation

Delivering a premature baby is not a recognized strategy for the prevention of postpartum hemorrhage (PPH).
Preterm birth is a complication of pregnancy associated with significant risks for both the mother and the infant, including respiratory distress syndrome, infection, and developmental issues for the baby.
Preterm delivery is not an elective procedure performed to prevent PPH. In fact, some conditions associated with preterm labor can increase the risk of other obstetric complications.
Certain risk factors for PPH, such as retained placenta, can be associated with preterm deliveries.

Option A: This is incorrect because Active Management of the Third Stage of Labor (AMTSL) is the most effective and widely recommended evidence-based intervention to prevent PPH.
Option B: This is incorrect because antenatal iron supplementation is a key prophylactic measure. It prevents and treats anemia, which improves the mother's ability to tolerate blood loss, thus reducing the severity and complications of PPH.
Option C: This is incorrect because preventing multiparity is a valid long-term public health strategy to reduce PPH risk. Grand multiparity is a known risk factor for uterine atony, the leading cause of PPH.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Prevention of Postpartum Hemorrhage (PPH) as background academic context rather than a clinical decision trigger.
PPH is a leading cause of maternal mortality worldwide, making its prevention a critical nursing responsibility in the labor room.
Nurses are integral to PPH prevention, including preparing and administering uterotonics, assisting with AMTSL, monitoring for risk factors, and assessing uterine tone and bleeding in the fourth stage of labor.
Early recognition of risk factors and prompt initiation of preventive measures can save lives.

How to Approach the Question

First, identify that this is a negative question, indicated by the word 'except'. The goal is to find the option that is NOT a valid method for PPH prevention.
Evaluate Option A: Recall that Active Management of the Third Stage of Labor (AMTSL) is the cornerstone of PPH prevention. This is a valid method.
Evaluate Option B: Consider the role of iron. While it doesn't stop the bleeding itself, it prevents anemia, making the mother more resilient to blood loss. This is a valid preventive/mitigative strategy.
Evaluate Option C: Think about risk factors for PPH. High parity is a known risk factor. Therefore, preventing high parity through family planning is a logical long-term preventive measure.
Evaluate Option D: Consider the implications of delivering a premature baby. This is a major medical intervention done for specific maternal or fetal indications, not as a preventive measure for PPH. It carries its own set of significant risks. This option does not fit as a preventive strategy.
Conclude that delivering a premature baby is the correct answer because it is not a method for PPH prevention.

Concept Tested & Keywords

Concept Tested: Prevention of Postpartum Hemorrhage (PPH)
Stem keywords: prevention, post partum hemorrhage
Lead-in keywords: except
Negative lead-in flag: The question asks for the option that is NOT a method of PPH prevention.

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