PPH Antenatal Risk Assessment
WHO 2012/2023
FOGSI 2022 / Focus 2024
RCOG GTG-52
ACOG PB-183
AICOG
FIGO 2022
MoHFW India 2015
⚠ For Educational Purpose Only
01
Patient Demographics & Baseline
Maternal Age (years)
Gestational Age (weeks)
Planned Mode of Delivery
Spontaneous Vaginal Delivery
Instrumental / Operative Vaginal
Elective Caesarean Section
Emergency Caesarean Section
VBAC (Trial of Scar)
BMI (kg/m²)
Normal (18.5–24.9)
Overweight (25–29.9)
Obese Class I (30–34.9)
Obese Class II+ (≥35)
Underweight (<18.5)
Haemoglobin Level
≥11 g/dL (Normal)
10–10.9 g/dL (Mild anaemia)
7–9.9 g/dL (Moderate anaemia)
<7 g/dL (Severe anaemia)
Platelet Count
≥150,000/μL (Normal)
100,000–149,000 (Mild ↓)
50,000–99,000 (Moderate ↓)
<50,000 (Severe ↓)
Parity
Nulliparous (P0)
P1
P2–P3
P4+ (Grand Multipara)
02
Previous Obstetric History — TONE Risk
Previous PPH History
None
Previous PPH (single episode)
Recurrent PPH (≥2 episodes)
Previous Obstetric Risk Factors
HIGH RISK
03
Current Pregnancy — Fetal, Placental & Uterine Factors
Fetal Factors
TONE
Placental Factors
TISSUE — CRITICAL
Uterine / Structural Factors
TONE
04
Medical Conditions & Coagulopathy — THROMBIN
Hypertensive Disorders
Coagulation Disorders
THROMBIN
Other Systemic Conditions
05
Intrapartum Factors & Vital Signs
Intrapartum Risk Factors
TRAUMA / TONE
Facility & Resource Context
Vital Signs — Modified Shock Index (FOGSI Focus 2024)
Heart Rate (beats/min)
Systolic BP (mmHg)
Diastolic BP (mmHg)
Modified Shock Index = HR ÷ MAP (normal 0.5–0.7). MAP = (SBP + 2×DBP) ÷ 3. Per FOGSI Focus 2024: SI ≥1.4 = severe shock with ~39.8% mortality if PPH uncontrolled.
🔬 CALCULATE PPH RISK SCORE & GENERATE RECOMMENDATIONS
◆
Score Breakdown by Domain
◆
Haemodynamic Assessment
◆
The Four T's — Cause Analysis
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Clinical Recommendations & Care Plan
◆
Protocol References
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