ABSTRACT
Primary postpartum haemorrhage (PPH) is the most common form of major obstetric haemorrhage. PPH is one of the most common emergencies encountered by midwives. The well-known predisposing risks factors for PPH and its management have been standardised and is known by the obstetric team. Visual assessment, weighing, and quantifying with special devices are the methods currently in use to determine blood loss. The visual method has the downside of an underestimation of the loss. The assessment of blood loss in water is extremely intricate, and there is little evidence of an objective method of assessment. The ability of the midwife to react and recognise the phenomena immediately is essential. Midwives need to be fully aware of the risk factors and how quickly a normal situation can become a serious emergency. PPH can be a frightening event, especially if the woman is in the pool.
