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Diagnosis and treatment of peripartum bleeding

Wolfgang Henrich1, Daniel Surbek, Franz Kainer

  • 1Department of Obstetrics, Charité-University Medicine Berlin, 13353 Berlin, Germany. Wolfgang.Henrich@charite.de

Journal of Perinatal Medicine
|September 12, 2008
PubMed

Severe peripartum hemorrhage (PPH) contributes to maternal morbidity and mortality and is one of the most frequent emergencies in obstetrics, occurring at a prevalence of 0.5-5.0%. Detection of antepartum risk factors is essential in order to implement preventive measures. Proper training of obstetric staff and publication of recommendations and guidelines can effectively reduce the frequency of PPH and its resulting morbidity and mortality. Therefore, an interdisciplinary expert committee was formed, with members from Germany, Austria, and Switzerland, to summarize recent scientific findings. An up-to-date presentation of the importance of embolization and of the diagnosis of coagulopathy in PPH is provided. Furthermore, the committee recommends changes in the management of PPH including new surgical options and the off-label use of recombinant factor VIIa.

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