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http://hdl.handle.net/1843/56827| Type: | Artigo de Periódico |
| Title: | Postpartum hemorrhage: prevention, diagnosis and non-surgical management |
| Authors: | Álvaro Luiz Lagealves Adriana Amorim Francisco Gabriel Costa Osanan Laíses Braga Vieira |
| Abstract: | Postpartum hemorrhage is the world’s leading cause of maternal death and peripartum hysterectomy. • The main causes of postpartum hemorrhage are uterine atony, birth canal trauma, retention of placental re mains and coagulation disorders. • Risk stratification for postpartum hemorrhage optimizes care planning and promotes early adoption of preventive measures. • Bleeding control within the first hour of diagnosis (“golden hour”) is the most effective measure for treating postpartum hemorrhage. • The shock index is the clinical method of choice for estimating blood loss and a good parameter to guide the need for blood transfusion. • The main drugs used in pharmacological therapy for postpartum hemorrhage are oxytocin, ergot derivatives, misoprostol and tranexamic acid. • In uterine atony with pharmacological therapy failure, the intrauterine balloon tamponade should precede the surgical approach. • The non-pneumatic anti-shock garment is useful in postpartum hemorrhage with hemodynamic instability and enables continuity of treatment and patient transfers |
| Subject: | Hemorragia Pós-Parto Período Periparto |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.1055/s-0040-1721882 |
| URI: | http://hdl.handle.net/1843/56827 |
| Issue Date: | Nov-2020 |
| metadata.dc.url.externa: | https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1721882 |
| metadata.dc.relation.ispartof: | Revista Brasileira de Ginecologia e Obstetrícia |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Postpartum hemorrhage prevention pdfa.pdf | 36.45 MB | Adobe PDF | View/Open |
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