Postpartum hemorrhage: prevention, diagnosis and non-surgical management
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
Resumo
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
Abstract
Assunto
Hemorragia Pós-Parto, Período Periparto
Palavras-chave
Postpartum hemorrhage, Peripartum hysterectom
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Endereço externo
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1721882