[Hemodynamic and metabolic approach in severe genital hemorrhage]

Severe genital hemorrhage in women is almost always present during puerperal pregnancy status. Thus, bearing in mind the hemodynamic and metabolic changes which appear physiologically during gestation: hypovolimia, hemodilution, tachycardia, and modification showing in blood coagulation factors and in electrocardiogram, is of paramount importance. In this article, a four-type genital bleeding classification based on the extent of blood loss is presented. Out of the four types. Class III and class IV correspond to hypovolemic shock and call for intensive care. The need for the availability of all necessary material resources and the participation of a multidisciplinary team are emphasized. The author also emphasized the preservation of the fetus' life-while inside the uterus-whenever this be feasible.