What is the main purpose of a pelvic examination after PPH?

Performing a pelvic examination after postpartum hemorrhage (PPH) primarily serves to assess for retained products of conception and lacerations. After delivery, the presence of retained products, such as placenta fragments, can lead to continued bleeding and complications. A thorough pelvic exam allows healthcare providers to identify these retained elements, which are crucial to address promptly to prevent further hemorrhage or infection.

Additionally, lacerations in the vaginal canal, cervix, or perineum can also contribute to excessive bleeding. By evaluating these areas during the examination, the clinician can determine whether surgical intervention or other medical management is necessary to ensure proper healing and reduce the risk of future complications.

While other factors, such as uterine scarring or the need for transfusions, can be important aspects of postpartum care, they are not the primary focus of the pelvic exam immediately following PPH. Similarly, evaluating the mother's mental state, while essential in ongoing postpartum care, falls outside the specific scope of a physical examination intended to assess the physical causes of hemorrhage.