Postpartum hemorrhage: prevention, diagnosis and non-surgical management

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dc.creatorÁlvaro Luiz Lagealves
dc.creatorAdriana Amorim Francisco
dc.creatorGabriel Costa Osanan
dc.creatorLaíses Braga Vieira
dc.date.accessioned2023-07-20T22:54:58Z
dc.date.accessioned2025-09-09T00:38:46Z
dc.date.available2023-07-20T22:54:58Z
dc.date.issued2020-11
dc.format.mimetypepdf
dc.identifier.doi10.1055/s-0040-1721882
dc.identifier.issn1806-9339
dc.identifier.urihttps://hdl.handle.net/1843/56827
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetrícia
dc.rightsAcesso Aberto
dc.subjectHemorragia Pós-Parto
dc.subjectPeríodo Periparto
dc.subject.otherPostpartum hemorrhage
dc.subject.otherPeripartum hysterectom
dc.titlePostpartum hemorrhage: prevention, diagnosis and non-surgical management
dc.typeArtigo de periódico
local.citation.epage784
local.citation.issue5
local.citation.spage776
local.citation.volume42
local.description.resumoPostpartum 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
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1721882

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