Nursing Care of OB & Postpartum Hemorrhage (PPH) 2026 Practice Test – Comprehensive All-in-One Guide for Exam Success!

The correct identification of the two main categories of postpartum hemorrhage (PPH) is vital for understanding the types of hemorrhage that can occur following childbirth. Postpartum hemorrhage is classified into two main categories: primary PPH and secondary PPH.

Primary PPH refers to excessive bleeding that occurs within the first 24 hours after delivery, most commonly associated with factors such as uterine atony, retained placental tissue, vaginal lacerations, or uterine rupture. This is a critical time frame when immediate medical intervention may be required to prevent significant maternal morbidity or mortality.

Secondary PPH occurs from 24 hours up to 6 weeks postpartum. It is often due to retained products of conception, infections, or uterine subinvolution. Although this type can be managed with careful monitoring and treatment, awareness and prompt action are still crucial to ensure patient safety.

This classification clearly delineates the onset timing of the bleeding, thereby guiding healthcare providers in diagnosis, management, and necessary interventions to address the unique risks associated with each type. Understanding these types is essential for healthcare professionals in order to monitor, prevent complications, and effectively respond to postpartum hemorrhage.