Postpartum haemorrhage

By intramuscular injection, 10 units.

By slow intravenous injection, 100 micrograms for 1 dose, to be administered as soon as possible after delivery, preferably before removal of placenta.

As per specialist advice.

By intramuscular injection, 500micrograms.

By intramuscular injection, 1ml dose.

Prescribing Notes:

Oxytocin (injection) is given by slow intravenous infusion for induction and augmentation of labour. It may also be used in the treatment of post-partum haemorrhage.
Carbetocin will only be used for prevention of post-partum haemorrhage for in-patients undergoing caesarean birth.
Patients having carbetocin should not be given oxytocin for at least 4 hours after the dose.
Syntometrine (oxytocin (5 units) and ergometrine maleate (500micrograms) in 1ml injection) is given by intramuscular injection for the routine management of the third stage of labour. It is also the drug of choice in the management and prevention of post-partum haemorrhage, and for the control of bleeding due to incomplete abortion.
Carboprost (injection) is used to treat post-partum haemorrhage in patients who do not respond to oxytocin
Ergometrine maleate (injection) is used for the management of post-partum haemorrhage.

History Notes

06/02/2025

Addition of carbetocin. ERFC Dec 24

18/05/2022

East Region Formulary content agreed.