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Updated: Mar 28, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

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Obstetric hemorrhage.

Steven L Clark1

  • 1Baylor College of Medicine, Texas Children's Hospital, Texas Children's Hospital, Women's Pavilion, 6651 Main St, Suite F1096, Houston, TX 77030.

Seminars in Perinatology
|January 5, 2016
PubMed
Summary
This summary is machine-generated.

Post-partum hemorrhage (PPH) is a leading cause of maternal death in the US. Implementing a PPH bundle with clear guidelines for risk assessment, diagnosis, and management can significantly reduce PPH-related fatalities.

Keywords:
Hemorrhagematernal mortalitypatient safety

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Public Health Initiatives

Background:

  • Post-partum hemorrhage (PPH) continues to be a significant cause of maternal mortality in the United States.
  • Existing resources like drugs, surgical techniques, and blood banking have not fully eradicated PPH-related deaths.

Purpose of the Study:

  • To introduce and advocate for the adoption of a comprehensive hemorrhage bundle.
  • To provide clear, actionable guidelines for the prevention and management of PPH.

Main Methods:

  • The New York Safe Motherhood Initiative developed a hemorrhage bundle.
  • The bundle outlines protocols for risk assessment, preparation, diagnosis, and management algorithms.
  • Emphasis is placed on system-wide implementation and individual care considerations.

Main Results:

  • The hemorrhage bundle provides a structured approach to PPH management.
  • Implementation of such guidelines is expected to decrease mortality rates associated with PPH.
  • The bundle addresses critical stages from initial risk identification to advanced treatment.

Conclusions:

  • Adoption of the hemorrhage bundle, or equivalent protocols, is crucial for reducing maternal deaths from PPH.
  • A systems-based approach to implementing PPH management strategies is recommended.
  • Individualized patient care recommendations complement the bundle for enhanced safety.