pregnancy-associated hemorrhage; obstetrical hemorrhage
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Introduction
Hemorrhage associated with pregnancy
Complications
Management
- oxytocin during 3rd stage of labor may be useful[1]
- systematic hospital improvements may lower risk for triad of death[2]
- deployment of a massive transfusion protocol
- on-call specialists in maternal fetal medicine, gynecologic oncology, & trauma surgery
- daily education about important issues in managing obstetric hemorrhage
- enhanced efforts to identify women at risk for morbidly adherent placenta
- liberal measurement of arterial blood gas & plasma lactate
- encouragement of uterine balloon tamponade
- ready availability of interventional radiology for embolization of pelvic vessels
More general terms
More specific terms
References
- ↑ 1.0 1.1 Main EK et al. National Partnership for Maternal Safety: Consensus bundle on obstetric hemorrhage. Obstet Gynecol 2015 Jul; 126:155 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26091046 <Internet> http://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=2015&issue=07000&article=00024&type=abstract
- ↑ 2.0 2.1 2.2 Barbieri RL Obstetric Hemorrhage and the Triad of Death: How to Save More Lives. Physician's First Watch, Sept 25,2017 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
Skupski DW, Brady D, Lowenwirt IP et al. Improvement in outcomes of major obstetric hemorrhage through systematic change. Obstet Gynecol 2017 Oct; 130:770 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28885411