Postpartum Hemorrhage

作者：Su Cindy W^*

来源：Primary Care: Clinics in Office Practice , 2012, 39(1): 167-+.

DOI：10.1016/j.pop.2011.11.009

• Postpartum hemorrhage
• Uterine atony
• Uterotonic agents
• Uterine tamponade
• Perineal lacerations
• Active management of third stage of labor

Postpartum hemorrhage (PPH) is a very common obstetric emergency with high morbidity and mortality rates worldwide. Understanding its etiology is fundamental to effectively managing PPH in an acute setting. Active management of the third stage of labor is also a key component in its prevention. Management strategies include conservative measures (medications, uterine tamponade, and arterial embolization) as well as surgical interventions (arterial ligations, compression sutures, and hysterectomy). Creating a standardized PPH protocol and running simulation-based drills with a multidisciplinary team may also help decrease maternal morbidity and improve perinatal outcomes, although further studies are needed.

• 出版日期2012-3