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New approaches to obstetric hemorrhage: the postpartum hemorrhage consensus algorithm

Girard, Thierrya; Mörtl, Manfredb; Schlembach, Dietmarc

Current Opinion in Anaesthesiology: June 2014 - Volume 27 - Issue 3 - p 267–274
doi: 10.1097/ACO.0000000000000081
OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Wiebke Gogarten and Dorothee Bremerich
Editor's Choice

Purpose of review: Postpartum hemorrhage is increasingly frequent and a major contributor to maternal morbidity and mortality. Although individual steps, such as coagulation or surgical management, have been reviewed, there is little information on treatment algorithms.

Recent findings: A treatment algorithm for postpartum hemorrhage was developed by the experts from three different specialties and from three countries. The algorithm describes symptoms, diagnosis, general measurements, medication, and organizational aspects.

Summary: The algorithm is thought to serve as a template for local adaptation. It will hopefully improve the management of postpartum hemorrhage.

aDepartment of Anesthesiology, University Hospital Basel, Basel, Switzerland

bInterdisciplinary Centre for Gynecology, Gynecooncology and Feto-Maternal Medicine, Klagenfurt, Austria

cDepartment of Obstetrics/Prenatal Diagnosis and Fetal Physiology, University Hospital Jena, Jena Germany

Correspondence to Professor Dr med. Thierry Girard, Department of Anesthesiology, University Hospital Basel, Spitalstrasse 21, CH-4031, Basel, Switzerland. Tel: +41 61 265 25 25; e-mail:

© 2014 Lippincott Williams & Wilkins, Inc.