medigraphic.com
Colegio de Medicos y Cirujanos República de Costa Rica

2014, Number 613

<< Back Next >>

Rev Med Cos Cen 2014; 71 (613)

Hemorragia Postparto

Campos LD, Villarreal AG

Language: Spanish
References: 13
Page: 785-788
PDF size: 511.21 Kb.


ABSTRACT

The PPH is considered the primary cause of death among pregnant women worldwide; defined as blood loss greater than 500 ml in vaginal delivery and greater than 1,000 ml in a cesarean delivery. The nemonic of the four “T” is used to remember the most common causes of PPH: Tone, Tissue, Trauma and Thrombin. Immediate treatment is aimed at maternal resuscitation, based on the new paradigm: limiting crystalloid, early use of FFP: RBC: Platelets in a 1:1:1, permissive hypotension and use of recombinant activated factor VII. The definitive diagnosis and treatment should also be initiated during primary resuscitation.


REFERENCES

  1. A. Adell, A. Araujo. Manejo multidisciplinario de la hemorragia obstétrica masiva. Protocolo Hospital Donostia. 2011.

  2. Amelia Banks BSc MBBS MRCP, Andrew Norris MB ChB. Massive haemorrhage in pregnancy. Continuing Education in Anaesthesia, Critical Care & Pain. 2005; 5(6):195-198.

  3. Barbon Sanchez, Arnaldo et al. Hemocomponentes en la hemorragia obstétrica mayor. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 341-348. ISSN 0138-600X.

  4. Cindy W. Su, MD. Postpartum Hemorrhage. Prim Care Clin Office Pract 39 (2012). Department of Obstetrics & Gynecology, Contra Costa Regional Medical Center.

  5. Gladis Adriana Vélez- Álvarez,M.D.,Bernardo AgudeloJaramillo,M.D., Joaquin Guillermo Gómez Davila, M.D.,M,Sc,John Jairo Zuleta-Tobón,M.D.,M.Sc. Código Rojo: Guia para el manejo de la Hemorragia obstétrica. Revista colombiana de Obstetricia y Ginecologia Vol 60 No1 2009, (página 34-48).

  6. H. Karlsson, C. Pérez Sanz. Hemorragia Postparto. Servicio de Obstetricia y Ginecología. Hospital Virgen del Camino. Pamplona. An. Sist. Sanit. Navar. 2009; 32 (Supl. 1): 159-167.

  7. Karlsson, H. y Perez Sanz, C. Hemorragia postparto. Anales Sis San Navarra [online]. 2009, vol.32, suppl.1, pp. 159-167. ISSN 1137- 6627

  8. Martínez-Galiano JM. Prevención de las hemorragias posparto con el manejo activo del alumbramiento. Matronas Prof. 2009; 10 (4): 20-26.

  9. Matthew A. Borgman MD, Philip C. Spinella MD, Jeremy G. Perkins MD, Kurt W. Grathwohl MD, Thomas Repine MD, Alec C. Beekley MD, et al. The Ratio of Blood Products Transfused Affects Mortality in Patients Receiving Massive Transfusions at a Combat Support Hospital. The Journal of Trauma. 2007; 63(4):805-813.

  10. Nápoles Méndez, Danilo. Consideraciones prácticas sobre la hemorragia en el periparto. MEDISAN [online]. 2012, vol.16, n.7, pp. 1114-1136. ISSN 1029- 3019.

  11. Prichard JA, Baldwin RM. Blood volume changes in pregnancy and the puerperium. Red blood cell loss and changes in apparent blood volume during and following vaginal delivery, caesarean section and caesarean section plus total hysterectomy. Am J Obstet Gynecol. 1962; 84:1271-82.

  12. Rojas Suarez JA M.D, Estarita J. Protocolo de Shock Hipovolémico. ESE Clínica de Maternidad Rafael Calvo C.

  13. Umo-Etuk J, Lumley J, Holdcroft A. Critically ill parturient women and admission to intensive care: a 5-year review. Int J Obstet Anesth. 1996; 5:79-84.




2020     |     www.medigraphic.com