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pregnancy-associated hemorrhage; obstetrical hemorrhage
Hemorrhage associated with pregnancy
Complications:
- triad of death [2]
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
Specific
antepartum hemorrhage
fetal-maternal hemorrhage
postpartum hemorrhage
General
internal hemorrhage
pregnancy disorder; obstetric disorder; pregnancy complication
References
- Main EK et al.
National Partnership for Maternal Safety: Consensus bundle on
obstetric hemorrhage.
Obstet Gynecol 2015 Jul; 126:155
PMID: 26091046
http://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=2015&issue=07000&article=00024&type=abstract
- 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: 28885411