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Chapter-07 Management of Postpartum Hemorrhage: Where Do We Go Wrong?

BOOK TITLE: Manual of Postpartum Hemorrhage and High-Risk Pregnancy

Author
1. Arulkumaran Sabaratnam
ISBN
9789352703708
DOI
10.5005/jp/books/18024_8
Edition
1/e
Publishing Year
2018
Pages
2
Author Affiliations
1. St. George’s Hospital Medical School London, St. George’s Hospital Medical School, London, St George’s Hospital Medical School, London, United Kingdom, St George’s Hospital Medical School, London, United Kingdom, e-mail: sarulkum@sghms.ac.uk, St George s University of London, London, UK, St George’s Hospital Medical School Cranmer Terrace, London SW17 0RE, United Kingdom, St George’s University of London, Cranmer Terrace, London, United Kingdom, FIGO; University of Nicosia, Nicosia, Cyprus
Chapter keywords
Postpartum hemorrhage, PPH, blood loss, intensive care unit, ICU, hemostasis, tamponade test, hysterectomy

Abstract

Key elements where we go wrong are not considering the woman may be anemic at the onset, that her blood volume is related to her body weight, poor assessment of blood loss and not following a stepwise progression of management to stem the hemorrhage and manage the woman’s blood loss appropriately. The stepwise rapid succession of medical followed by surgical interventions can stop or minimize the bleeding and correct the blood loss and prevent the cascade of events that lead to massive blood loss, hysterectomy, admission to intensive care unit (ICU) and deaths and is tackled by the use of the mnemonic “hemostasis”.

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