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Postpartum hemorrhage: a continuing challenge

Evelyn Lockhart1

  • 1University of New Mexico Health Science Center, Departments of Pathology and Obstetrics & Gynecology, Albuquerque, NM.

Hematology. American Society of Hematology. Education Program
|December 6, 2015
PubMed

Obstetric hemorrhage remains a leading cause of maternal morbidity and mortality worldwide. Many postpartum hemorrhages (PPHs) do not have identifiable risk factors; maternity units should therefore have obstetric hemorrhageprotocols in place for all parturients as every pregnancy has the potential to be complicated by hemorrhage. This review will examine the epidemiology of PPH as well as current recommendations for key elements in obstetric hemorrhage protocols. Recent advances in hematologic management of PPH will be also be reviewed, including: (1) recognition of hypofibrinogenemia as a risk factor for severe PPH, (2) use of antifibrinolytic therapy, and (3) strategies for fibrinogen replacement therapy.

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