Identification and Management of Obstetric Hemorrhage

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Obstetric hemorrhage remains the leading cause of maternal death and severe morbidity worldwide. Although uterine atony is the most common cause of peripartum bleeding, abnormal placentation, coagulation disorders, and genital tract trauma contribute to adverse maternal outcomes. Given the inability to reliably predict patients at high risk for obstetric hemorrhage, all parturients should be considered susceptible, and extreme vigilance must be exercised in the assessment of blood loss and hemodynamic stability during the peripartum period. Obstetric-specific hemorrhage protocols, facilitating the integration and timely escalation of pharmacologic, radiological, surgical, and transfusion interventions, are critical to the successful management of peripartum bleeding.

Original languageEnglish (US)
Pages (from-to)15-34
Number of pages20
JournalAnesthesiology Clinics
Volume35
Issue number1
DOIs
StatePublished - Mar 1 2017

Fingerprint

Obstetrics
Peripartum Period
Hemorrhage
Uterine Inertia
Placentation
Maternal Death
Cause of Death
Hemodynamics
Mothers
Parturition
Morbidity
Wounds and Injuries

Keywords

  • Cell salvage
  • Fibrinogen
  • Obstetric hemorrhage
  • Recombinant activated factor VII
  • Tranexamic acid
  • Transfusion
  • Uterine atony

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Identification and Management of Obstetric Hemorrhage. / Baird, Emily.

In: Anesthesiology Clinics, Vol. 35, No. 1, 01.03.2017, p. 15-34.

Research output: Contribution to journalReview article

@article{adc4ed8afafe49a494e1c35d234587a2,
title = "Identification and Management of Obstetric Hemorrhage",
abstract = "Obstetric hemorrhage remains the leading cause of maternal death and severe morbidity worldwide. Although uterine atony is the most common cause of peripartum bleeding, abnormal placentation, coagulation disorders, and genital tract trauma contribute to adverse maternal outcomes. Given the inability to reliably predict patients at high risk for obstetric hemorrhage, all parturients should be considered susceptible, and extreme vigilance must be exercised in the assessment of blood loss and hemodynamic stability during the peripartum period. Obstetric-specific hemorrhage protocols, facilitating the integration and timely escalation of pharmacologic, radiological, surgical, and transfusion interventions, are critical to the successful management of peripartum bleeding.",
keywords = "Cell salvage, Fibrinogen, Obstetric hemorrhage, Recombinant activated factor VII, Tranexamic acid, Transfusion, Uterine atony",
author = "Emily Baird",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.anclin.2016.09.004",
language = "English (US)",
volume = "35",
pages = "15--34",
journal = "Anesthesiology Clinics",
issn = "1932-2275",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Identification and Management of Obstetric Hemorrhage

AU - Baird, Emily

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Obstetric hemorrhage remains the leading cause of maternal death and severe morbidity worldwide. Although uterine atony is the most common cause of peripartum bleeding, abnormal placentation, coagulation disorders, and genital tract trauma contribute to adverse maternal outcomes. Given the inability to reliably predict patients at high risk for obstetric hemorrhage, all parturients should be considered susceptible, and extreme vigilance must be exercised in the assessment of blood loss and hemodynamic stability during the peripartum period. Obstetric-specific hemorrhage protocols, facilitating the integration and timely escalation of pharmacologic, radiological, surgical, and transfusion interventions, are critical to the successful management of peripartum bleeding.

AB - Obstetric hemorrhage remains the leading cause of maternal death and severe morbidity worldwide. Although uterine atony is the most common cause of peripartum bleeding, abnormal placentation, coagulation disorders, and genital tract trauma contribute to adverse maternal outcomes. Given the inability to reliably predict patients at high risk for obstetric hemorrhage, all parturients should be considered susceptible, and extreme vigilance must be exercised in the assessment of blood loss and hemodynamic stability during the peripartum period. Obstetric-specific hemorrhage protocols, facilitating the integration and timely escalation of pharmacologic, radiological, surgical, and transfusion interventions, are critical to the successful management of peripartum bleeding.

KW - Cell salvage

KW - Fibrinogen

KW - Obstetric hemorrhage

KW - Recombinant activated factor VII

KW - Tranexamic acid

KW - Transfusion

KW - Uterine atony

UR - http://www.scopus.com/inward/record.url?scp=85010612339&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85010612339&partnerID=8YFLogxK

U2 - 10.1016/j.anclin.2016.09.004

DO - 10.1016/j.anclin.2016.09.004

M3 - Review article

C2 - 28131117

AN - SCOPUS:85010612339

VL - 35

SP - 15

EP - 34

JO - Anesthesiology Clinics

JF - Anesthesiology Clinics

SN - 1932-2275

IS - 1

ER -