Many of us in Family Medicine practice full scope including obstetrics. This is one of the most rewarding aspects of the specialty, but also one of the most challenging with very unpredictable hours and significant medical legal risk. Many other providers in primary care and OB/GYN may only provide outpatient prenatal care which is equally rewarding with a somewhat more predictable lifestyle.

Routine vaginal deliveries can quickly deteriorate into one of many frightening obstetrical emergencies including cord prolapse, placental abruption, pre-eclampsia/eclampsia, amniotic fluid embolism, operative vaginal delivery, uterine rupture, uterine inversion, shoulder dystocia, and postpartum hemorrhage (PPH). PPH is one of the top three causes of maternal mortality in both developing and developed countries.

Many family physicians and even some obstetricians and midwives have completed the outstanding Advanced Life Support in Obstetrics (ALSO) course. This two day course covers many of the above emergencies. Unfortunately, ALSO has no medical app but rather good, but not great, pocket cards. Currently, the course is being redeveloped and perhaps the next version will include a dedicated app. Here on iMedicalApps we have reviewed other Ob/Gyn apps that include some information on OB emergencies. One of my favorites is the excellent combination app by Dr Mark Brancel, PrenatalOB/UrgentOB/NewbornCare. These can be purchased together or separately and can also be purchased as physical pocket cards.

Postpartum Hemorrhage is a new medical app that focuses strictly on PPH, but does so in a very detailed fashion that addresses the entire OB team’s approach. The medical app was designed by two Ob/Gyn providers, Dr Ankita Gupta, MD, MPH and Dr Kelli Daniels, MD, at Crozer Chester Medical Center in Upland, PA. The Postpartum Hemorrhage app contains a stage-based approach to the risk assessment and treatment of PPH and includes the ACOG recommended safety checklists for the management of PPH. The medical app makes for an excellent quick reference tool for all OB providers.

Clinical Scenario

You are called to the labor deck for the delivery of your continuity OB patient. She is a 32 y/o G6P505 with a BMI of 30 and history of one prior PPH 2 years ago during the birth of her last child. She rapidly progresses and delivers a male infant who is vigorous; however, despite initiating Pitocin with delivery of the anterior shoulder, the patient appears to be hemorrhaging and her uterus is atonic. What should you do next? The Postpartum Hemorrhage app will help guide you through this emergency! Let’s take a look at Postpartum Hemorrhage app in action.

Video Review

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Evidence based medicine

The Postpartum Hemorrhage app contains information from the most current (2012/2015) ACOG information on the optimal protocols for assessment and management of PPH. The medical app contains the most current information regarding proper medication dosing, emergency maneuvers and surgical procedures for PPH.

What providers would benefit from this App?

Students, residents, nurses, Family Medicine, Midwives, OB/GYN and any provider who performs obstetrics.

Postpartum Hemorrhage

Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.

  • Price
    • Free
    • Contains the current ACOG and leading patient safety guidelines for PPH.
    • Includes a built-in PPH risk assessment calculator.
    • Great videos on emergency sutures and Bakri balloon use.   
    • Available for Android.
  • Dislikes
    • References are excellent, but no PDFs or working links for the key references.
    • Surgical videos are not downloadable to device/included in app.
    • Some areas of app, the font is challenging to read.
  • Overall

    A fantastic stand-alone app for one of the most feared and dangerous OB emergencies. The app contains the most current guidelines for risk assessment and treatment of PPH in a stepwise easy to follow approach. The app includes outstanding features that every OB provider will appreciate.

  • Overall Score
  • User Interface

    Easy to use interface with discreet and well-thought out sections for key material. Some font small and difficult to read.

  • Multimedia Usage

    Contains built in PPH risk calculator and videos for emergency sutures and Bakri balloon placement.

  • Price

    App is free!

  • Real World Applicability

    An app that all obstetric providers and labor and delivery nurses and staff should have on their devices.

  • Device Used For Review

    iPhone 6S running iOS 9.3.1

  • Available for DownloadAndroidiPhoneiPad