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Management of post-partum haemorrhage.
J Ahonen1, V Stefanovic, R Lassila
1Departments of Anaesthesia and Intensive Care, Helsinki University Hospital, Finland. jouni.ahonen@fimnet.fi
Acta Anaesthesiologica Scandinavica
|November 12, 2010
Summary
This article details managing post-partum haemorrhage (PPH) by addressing uterine atony, retained placenta, trauma, and employing volume replacement, transfusions, and embolization. It also covers coagulation changes and special care for bleeding disorders.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Anesthesiology
Background:
- Post-partum haemorrhage (PPH) is a leading cause of maternal mortality.
- Effective management requires understanding coagulation and fibrinolysis alterations during pregnancy and hemorrhage.
Purpose of the Study:
- To provide comprehensive guidance on PPH management.
- To highlight pregnancy- and hemorrhage-induced changes in coagulation and fibrinolysis.
- To outline practical instructions for PPH treatment.
Main Methods:
- Review of current PPH management strategies.
- Explanation of physiological changes in coagulation and fibrinolysis.
- Discussion of therapeutic interventions including volume replacement, blood products, and surgical options.
Main Results:
- PPH management involves addressing uterine atony, retained placenta, trauma, and utilizing interventions like balloon tamponade and embolization.
- Understanding compensatory mechanisms in coagulation and fibrinolysis is crucial.
- Specialized care is needed for patients with pre-existing bleeding disorders.
Conclusions:
- A multidisciplinary approach is essential for optimal PPH management.
- Tailored treatment strategies are necessary, especially for women with bleeding disorders.
- This article proposes practical guidelines for PPH treatment.
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