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New approaches to obstetric hemorrhage: the postpartum hemorrhage consensus algorithm

Girard, Thierrya; Mörtl, Manfredb; Schlembach, Dietmarc

Current Opinion in Anesthesiology: 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.