Major postpartum haemorrhage : Current Opinion in Obstetrics and Gynecology

Secondary Logo

Journal Logo

Review Article

Major postpartum haemorrhage

Mousa, Hatem A.; Walkinshaw, Steven

Author Information
Current Opinion in Obstetrics and Gynecology 13(6):p 595-603, December 2001.

Abstract

Postpartum haemorrhage remains in the top five causes of maternal deaths in both developed and developing countries. Persistent blood loss of more than 1000 ml should prompt predetermined measures to achieve resuscitation and haemostasis. A protocol including guidelines is given and volume replacement is discussed. The range of medical and surgical interventions that may be considered for the modern management of major haemorrhage unresponsive to oxytocin and ergometrine are presented. The review discusses in depth the use of misoprostol, recombinant activated factor VII, the uterine tamponade procedures, artery ligation, and uterine haemostatic suturing techniques. It also evaluates the place of interventional radiology and hysterectomy in modern obstetrics.

© 2001 Lippincott Williams & Wilkins, Inc.

You can read the full text of this article if you:

Access through Ovid