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Clinical Evaluation During Postpartum Hemorrhage

QUIÑONES, JOANNE N. MD, MSCE*; UXER, JENNIFER B. DO; GOGLE, JULIA RNC; SCORZA, WILLIAM E. MD*; SMULIAN, JOHN C. MD, MPH*

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181cd5d36
Postpartum Hemorrhage
Abstract

Obstetric hemorrhage remains the most important cause of maternal mortality worldwide, accounting for 30% of all direct maternal deaths. As the method of management depends on multiple concurrent and sequential evaluations of the patient's status, it is helpful to have an evaluation strategy prepared for when a postpartum hemorrhage is encountered to facilitate interventions. This review describes an etiology-based approach to the clinical evaluation of postpartum hemorrhage and a suggested systems process that allows both a timely and appropriate evaluation of the hemorrhaging mother.

Author Information

*Division of Maternal Fetal Medicine

Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania

Correspondence: Joanne N. Quiñones, MD, MSCE, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, I-78 and Cedar Crest Boulevard, Allentown, PA. E-mail: joanne_n.quinones@lvh.com

© 2010 Lippincott Williams & Wilkins, Inc.