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Colegio de Medicos y Cirujanos República de Costa Rica

2014, Number 609

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Rev Med Cos Cen 2014; 71 (609)

Hemorragia postparto

Clachar HG, Araque AB

Language: Spanish
References: 22
Page: 79-84
PDF size: 172.74 Kb.


ABSTRACT

PPH is an obstetric emergency that may occur after vaginal delivery or cesarean section, being the most important cause of mortality in the world. Traditionally PPH defined as estimated blood loss of 500 ml or more after vaginal delivery or equal to or more than 1000 mL after cesarean delivery. A PPH clinically defined as excessive bleeding patient becomes symptomatic and signs of hypovolemia as hypotension, tachycardia, oliguria, and decreased oxygen saturation below 95%. As mnemonic describes four “T”: tone, tissue, trauma and thrombin. The most important treatment of PPH is prediction and prevention. Uterine atony is the most common cause of bleeding, the goal of the first interventions is to ensure uterine contraction.


REFERENCES

  1. Abou Zahr C. Global burden of maternal death and disability. Br Med Bull 2003; 67:1–11.

  2. American College of Obstetricians, Gynecologists. American College of Obstetrics and Gynecology practice bulletin: clinical management guidelines for obstetriciangynecologists number 76, October 2006: postpartum hemorrhage. Obstet Gynecol 2006;108:1039–47.

  3. Anderson J, Etches D, Smith D. Postpartum hemorrhage. In: Baxley E, editor. Advanced life support in obstetrics course syllabus. 4th Edition. Leawood (KS): American Academy of Family Physicians; 2001.

  4. Andolina K, Daly S, Roberts N, et al. Objective measurement of blood loss at delivery: is it more than a guess? Am J Obstet Gynecol 1999; 180: S69. 7

  5. Combs CA, Murphy EL, Laros RK Jr. Factors associated with postpartum hemorrhage with vaginal birth. Obstet Gynecol 1991;77:69– 76.

  6. Christianson LM, Bovbjerg VE, McDavitt EC, et al. Risk factors for perineal injury during delivery. Am J Obstet Gynecol 2003; 189: 255- 60.

  7. Devine PC. Obstetric hemorrhage. Semin Perinatol 2009; 33: 76- 81.

  8. Jackson KW Jr, Allbert JR, Schemmer GK, et al. A randomized controlled trial comparing oxytocin administration before and after placental delivery in the prevention of postpartum hemorrhage. Am J Obstet Gynecol 2001; 185: 873 - 7.

  9. Jansen AJ, Rhenen DJ, Steegers EA, et al. Postpartum hemorrhage and transfu-sion of blood and blood components. Obstet Gynecol Surv 2005; 60:663- 71.

  10. Kadir RA, Economides DL, Braithwaite J, et al. The obstetric experience of carriers of haemophilia. Br J Obstet Gynaecol 1997:104: 803-10.

  11. Kadir RA, Lee CA, Sabin CA, et al. Pregnancy in women with von Willebrand’s disease or factor XI deficiency. Br J Obstet Gynaecol 1998;105: 314- 21.

  12. Khan KS, Wojdyla D, Say L, et al. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367: 1066- 74.

  13. Nichols WL, Hultin MB, James AH, et al. von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). Haemophilia 2008;14: 171- 232

  14. Oyelese Y, Mastrolia R. Postpartum Hemorrhage. Obstet Gynecol Clin N Am 34 (2007) 421– 441.

  15. Pritchard JA, Baldwin RM, Dickey JC, et al. Blood volume changes in pregnancy and the puerperium. II. Red blood cell loss and changes inapparent blood volume during and followng vaginal delivery, cesarean section, and cesarean section plus total hysterectomy. Am J Obstet Gynecol 1962;84: 1271- 82.

  16. Prendiville WJ, Elbourne D, McDonald S. Active versus expectant management in the third stage of labour [review]. Cochrane Database Syst Rev 2000; 3: CD000007.

  17. Rajan PV, Wing DA. Postpartum hemorrhage: evidence-based medical interventions for prevention and treatment. Clin Obstet Gynecol 2010; 53: 165- 81.

  18. Rouse DJ, Landon M, Leveno KJ, et al. The maternalfetal medicine units cesarean registry: chorioamnionitis at term and its duration relationship to outcome. Am J Obstet Gynecol 2004; 191:211- 6.

  19. Rouse DJ, Leindecker S, Landon M, et al. The MFMU cesarean registry: uterine atony after primary cesarean delivery. Am J Obstet Gynecol 2005; 193: 1056 -60.

  20. Silver RM, Major H. Maternal coagulation disorders and 84 REVISTA MEDICA DE COSTA RICA Y CENTROAMERICA postpartum hemorrhage. Clin Obstet Gynecol 2010; 53:252- 64.

  21. Stones RW, Paterson CM, Saunders NJ. Risk factors for major obstetric haemorrhage. Eur J Obstet Gynecol Reprod Biol 1993; 48:15- 8.

  22. World Health Organization (WHO) Department of Reproductive Health and Research. Maternal mortality in 2005: estimates developed by WHO, UNICEF, and UNFPA. Geneva (Switzerland): WHO; 2005.




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