24 extractive question-and-answer pairs built from Postpartum Haemorrhage, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include postpartum haemorrhage, atonic pph, traumatic pph, oxytocin, methyl ergometrine, carboprost, misoprostol, tranexamic acid. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 22 factual, 2 list. 2 of the 24 pairs (8.3%) ask explanatory questions; the remaining 22 are factual or table-based questions. 95.83% of rows pass the corpus quality gate.
This dataset contains 24 extractive question-and-answer pairs derived from a publication on postpartum haemorrhage by icmr.gov.in. It covers topics such as atonic and traumatic PPH, medication protocols, and emergency interventions. Each answer is a verbatim excerpt from the source, ensuring traceability to the original document. The dataset includes factual and list-based questions, with a focus on clinical management steps and treatment recommendations.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-b78eb23fd41a63ce8d38e34eabff57d7")
df.head()First 10 of 26 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What items are listed under “COUNSELLING IS AN IMPORTANT ADJUNCT TO MANAGEMENT”? | • Call for help • Rapid Initial Assessment - evaluate vital signs: PR, BP, RR and Temperature • Establish two IV lines with wide bore cannula (16-18 gauge) • Draw blood for grouping and cross matching • Start RL/ NS, infuse 1 L in 15-20 minutes * • Give Oxygen @ 6-8 L /minute by mask, • Insert indwelling Catheter and connect to urobag • Check vitals and blood loss frequently - at least every 15 minutes • Monitor input and output | COUNSELLING IS AN IMPORTANT ADJUNCT TO MANAGEMENT • Call for help • Rapid Initial Assessment - evaluate vital signs: PR, BP, RR and Temperature • Establish two IV lines with wide bore cannula (16-18 gauge) • Draw blood for grouping and cross matching • Start RL/ NS, infuse 1 L in 15-20 minutes * • Give Oxygen @ 6-8 L /minute by mask, • Insert indwelling Catheter and connect to urobag • Check vitals and blood loss frequently - at least every 15 minutes • Monitor input and output | 50 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • Call for help • Rapid Initial Assessment - evaluate vital signs: PR, BP, RR and Temperature • Establish two IV lines with wide bore cannula (16-18 gauge) • Draw blood for grouping and cross matching • Start RL/ NS, infuse 1 L in 15-20 minutes * • Give Oxygen @ 6-8 L /minute by mask, • Insert indwelling Catheter and connect to urobag • Check vitals and blood loss frequently - at least every 15 minutes • Monitor input and output | 1 | page=1,block=39 | 0.700 | valid |
| What items are listed under “TIMELY ACTION AND REFERRAL IS IMPORTANT TO SAVE THE LIFE OF THE MOTHER”? | • PR > 120/min • Systolic BP < 100 mm Hg • Tachypnea < 95% • SpO2 < 95% • Shock index >1 (Shock index = pulse rate/systolic BP) • Deterioration of sensorium | TIMELY ACTION AND REFERRAL IS IMPORTANT TO SAVE THE LIFE OF THE MOTHER • PR > 120/min • Systolic BP < 100 mm Hg • Tachypnea < 95% • SpO2 < 95% • Shock index >1 (Shock index = pulse rate/systolic BP) • Deterioration of sensorium | 71 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • PR > 120/min • Systolic BP < 100 mm Hg • Tachypnea < 95% • SpO2 < 95% • Shock index >1 (Shock index = pulse rate/systolic BP) • Deterioration of sensorium | 1 | page=1,block=56 | 0.700 | valid |
| How frequently should vitals and blood loss be checked? | at least every 15 minutes | • Call for help • Rapid Initial Assessment - evaluate vital signs: PR, BP, RR and Temperature • Establish two IV lines with wide bore cannula (16-18 gauge) • Draw blood for grouping and cross matching • Start RL/ NS, infuse 1 L in 15-20 minutes * • Give Oxygen @ 6-8 L /minute by mask, • Insert indwelling Catheter and connect to urobag • Check vitals and blood loss frequently - at least every 15 minutes • Monitor input and output • Give Inj. Oxytocin 10 IU IM (if not given after delivery) • Start Oxytocin infusion : 20 IU in 500 ml RL/NS @ 40-60 drops per minute • IV bolus of oxytocin should NOT be given • Check to see if placenta has been delivered. • Fundal Massage of the uterus • Inspect placenta for completeness • Explore uterus for any retained placental bits/ membranes/ clots and evacuate | 380 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • Call for help • Rapid Initial Assessment - evaluate vital signs: PR, BP, RR and Temperature • Establish two IV lines with wide bore cannula (16-18 gauge) • Draw blood for grouping and cross matching • Start RL/ NS, infuse 1 L in 15-20 minutes * • Give Oxygen @ 6-8 L /minute by mask, • Insert indwelling Catheter and connect to urobag • Check vitals and blood loss frequently - at least every 15 minutes • Monitor input and output • Give Inj. | ||||
| What can be done if bleeding persists after the initial dose of Tranexamic Acid for PPH? | It can be repeated after 30 minutes | Tranexamic Acid (1g slow IV) is routinely recommended as an adjunctive treatment for PPH to be used as early as possible irrespective of cause but definitely within three hours of delivery. It can be repeated after 30 minutes if bleeding persists Standard treatment for PPH must continue meanwhile | 190 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | Tranexamic Acid (1g slow IV) is routinely recommended as an adjunctive treatment for PPH to be used as early as possible irrespective of cause but definitely within three hours of delivery. It can be repeated after 30 minutes if bleeding persists Standard treatment for PPH must continue meanwhile | 1 | page=1,block=51 | 0.700 | valid |
| What is the maximum total dosage of Oxytocin that should not be exceeded in 24 hours? | 100 IU in 24 hours | Bleeding not controlled Bleeding not controlled Bleeding still not controlled Bleeding controlled Explore uterus for retained bits • Repeat uterine massage every 15 minutes for first two hours • Monitor vitals every 10 minutes for 30 minutes , every 15 minutes for next 30 minutes and every 30 minutes for next 3-6 hours or until stable • Continue Oxytocin infusion @5-10 units /hr (total Oxytocin not to exceed 100 IU in 24 hours) Continue bimanual compression & Oxytocin infusion @10-20 units /hr Inj Methyl Ergometrine 0.2 mg IM or IV slowly ∙ Contraindicated in hypertension, severe anemia, heart disease ∙ Can be repeated after 15 minutes to a maximum of 5 doses (1mg) Inj Carboprost (PGF2 alpha) 250 µg IM • Contraindicated in asthma • Can be repeated every 20 minutes to a maximum of 8 doses (2 mg) Tab Misoprostol (PGE1) 800 µg Per rectal or sublingual ANY OF THE FOLLOWING OPTIONS CAN BE USED EITHER ALONE OR IN COMBINATION AS PER AVAILABILITY Timely Referral to a higher centre must be considered if facilities for blood transfusion or exploration and surgical intervention are not available. | 412 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | |||||
| What is the recommended dosage and administration method for Tranexamic Acid in the treatment of PPH? | Tranexamic Acid (1g slow IV) | Tranexamic Acid (1g slow IV) is routinely recommended as an adjunctive treatment for PPH to be used as early as possible irrespective of cause but definitely within three hours of delivery. It can be repeated after 30 minutes if bleeding persists Standard treatment for PPH must continue meanwhile | 0 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | Tranexamic Acid (1g slow IV) is routinely recommended as an adjunctive treatment for PPH to be used as early as possible irrespective of cause but definitely within three hours of delivery. | 1 | page=1,block=51 | 0.700 | valid |
| What is the recommended replacement ratio of crystalloid solution to blood lost during acute bleeding? | 3 ml of crystalloid solution should be used to replace every ml of blood lost | • Continue Oxytocin drip • Palpate uterus • Attempt controlled cord traction if uterus is contracted Uterus well contracted but bleeding continuing Uterus flabby • Explore for cervical/ vaginal/ perineal tears. Repair if present • If bleeding persists despite repair of above, suspect inadequate repair, rupture uterus or scar dehiscence. • Shift to OT for exploration under GA and/or laparotomy Bimanual compression and pharmacotherapy as per details below TRAUMATIC PPH ATONIC PPH * Arrange for blood / blood product at the earliest 3 ml of crystalloid solution should be used to replace every ml of blood lost during the initial part of the acute bleeding phase | 535 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • Shift to OT for exploration under GA and/or laparotomy Bimanual compression and pharmacotherapy as per details below TRAUMATIC PPH ATONIC PPH * Arrange for blood / blood product at the earliest 3 ml of crystalloid solution should be used to replace every ml of blood lost during the initial part of the acute bleeding phase | ||||
| What should be done if bleeding persists despite repair of cervical, vaginal, or perineal tears? | suspect inadequate repair, rupture uterus or scar dehiscence | • Continue Oxytocin drip • Palpate uterus • Attempt controlled cord traction if uterus is contracted Uterus well contracted but bleeding continuing Uterus flabby • Explore for cervical/ vaginal/ perineal tears. Repair if present • If bleeding persists despite repair of above, suspect inadequate repair, rupture uterus or scar dehiscence. • Shift to OT for exploration under GA and/or laparotomy Bimanual compression and pharmacotherapy as per details below TRAUMATIC PPH ATONIC PPH * Arrange for blood / blood product at the earliest 3 ml of crystalloid solution should be used to replace every ml of blood lost during the initial part of the acute bleeding phase | 277 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | Repair if present • If bleeding persists despite repair of above, suspect inadequate repair, rupture uterus or scar dehiscence. | 1 | page=1,block=10 | 0.700 | valid |
| What should be done if coagulation defects are present? | give blood and blood components | • Monitoring of vitals • Measurement of input and output • Give blood transfusion as indicated • Check for coagulation defects • If present give blood and blood components Intra uterine balloon tamponade using condom catheter | 140 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • Monitoring of vitals • Measurement of input and output • Give blood transfusion as indicated • Check for coagulation defects • If present give blood and blood components Intra uterine balloon tamponade using condom catheter | 1 | page=1,block=6 | 0.700 | valid |
| What should be done if the uterus is well contracted but bleeding continues? | Explore for cervical/ vaginal/ perineal tears. Repair if present | • Continue Oxytocin drip • Palpate uterus • Attempt controlled cord traction if uterus is contracted Uterus well contracted but bleeding continuing Uterus flabby • Explore for cervical/ vaginal/ perineal tears. Repair if present • If bleeding persists despite repair of above, suspect inadequate repair, rupture uterus or scar dehiscence. • Shift to OT for exploration under GA and/or laparotomy Bimanual compression and pharmacotherapy as per details below TRAUMATIC PPH ATONIC PPH * Arrange for blood / blood product at the earliest 3 ml of crystalloid solution should be used to replace every ml of blood lost during the initial part of the acute bleeding phase | 164 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382528_updatedpostpartumhaemorrhage.pdf | • Continue Oxytocin drip • Palpate uterus • Attempt controlled cord traction if uterus is contracted Uterus well contracted but bleeding continuing Uterus flabby • Explore for cervical/ vaginal/ perineal tears. Repair if present • If bleeding persists despite repair of above, suspect inadequate repair, rupture uterus or scar dehiscence. | 1 |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=39 |
| 0.700 |
| valid |
| Bleeding not controlled Bleeding not controlled Bleeding still not controlled Bleeding controlled Explore uterus for retained bits • Repeat uterine massage every 15 minutes for first two hours • Monitor vitals every 10 minutes for 30 minutes , every 15 minutes for next 30 minutes and every 30 minutes for next 3-6 hours or until stable • Continue Oxytocin infusion @5-10 units /hr (total Oxytocin not to exceed 100 IU in 24 hours) Continue bimanual compression & Oxytocin infusion @10-20 units /hr Inj Methyl Ergometrine 0.2 mg IM or IV slowly ∙ Contraindicated in hypertension, severe anemia, |
| 1 |
| page=1,block=19 |
| 0.700 |
| valid |
| 1 |
| page=1,block=10 |
| 0.700 |
| valid |
| page=1,block=10 |
| 0.700 |
| valid |