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Diagnosis and treatment of peripartum bleeding
-
Wolfgang Henrich
Veröffentlicht/Copyright:
10. September 2008
Abstract
Severe peripartum hemorrhage (PPH) contributes to maternal morbidity and mortality and is one of the most frequent emergencies in obstetrics, occurring at a prevalence of 0.5–5.0%. Detection of antepartum risk factors is essential in order to implement preventive measures. Proper training of obstetric staff and publication of recommendations and guidelines can effectively reduce the frequency of PPH and its resulting morbidity and mortality. Therefore, an interdisciplinary expert committee was formed, with members from Germany, Austria, and Switzerland, to summarize recent scientific findings. An up-to-date presentation of the importance of embolization and of the diagnosis of coagulopathy in PPH is provided. Furthermore, the committee recommends changes in the management of PPH including new surgical options and the off-label use of recombinant factor VIIa.
Keywords: Disseminated intravascular coagulation; peripartum hemorrhage; ultrasonography; uterotonic
Received: 2008-5-29
Accepted: 2008-6-9
Published Online: 2008-09-10
Published Online: 2008-09-10
Published in Print: 2008-11-01
©2008 by Walter de Gruyter Berlin New York
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Artikel in diesem Heft
- Expert panel recommendation
- Diagnosis and treatment of peripartum bleeding
- Original articles – Obstetrics
- Transvaginal ultrasonographic measurement of cervical length in predicting intra-amniotic infection and impending preterm delivery in preterm labor: a comparison with amniotic fluid white blood cell count
- Visfatin/Pre-B cell colony-enhancing factor in amniotic fluid in normal pregnancy, spontaneous labor at term, preterm labor and prelabor rupture of membranes: an association with subclinical intrauterine infection in preterm parturition
- The antenatal identification of funisitis with a rapid MMP-8 bedside test
- Can neonatal myasthenia gravis be predicted?
- Blood loss in low-lying placenta: placental edge to cervical internal os distance of less vs. more than 2 cm
- History-indicated cerclage: practice patterns of maternal-fetal medicine specialists in the USA
- Original article – Fetus
- Jugular lymphatic sacs in the first trimester of pregnancy: the prevalence and the potential value in screening for chromosomal abnormalities
- Umbilical cord thickness in the first and early second trimesters and perinatal outcome
- Sex-specific charts for abdominal circumference in term and near-term Caucasian newborns
- Prediction of adverse perinatal outcome at term in small-for-gestational age fetuses: comparison of growth velocity vs. customized assessment
- Original article – Newborn
- Neonatal neurological morbidity associated with uterine rupture
- Short communication
- Long-term epidural block treatment in patients with early threatening preterm delivery and vaginal fetal engagement
- Letters to the editor
- Milk of women with lifetime consumption of the recommended daily intake of fish fatty acids should constitute the basis for the DHA contents of infant formula
- Reversible facial nerve palsy secondary to nasal continuous positive airway pressure
- Optimal timing of elective cesarean delivery for twins
- Congress Calendar
- Congress Calendar
- Index Volume 36 (2008)
- Index Volume 36 (2008) - Contents
- Index - Subjects
- Index - Subjects
- Index - Authors
- Index - Authors
- Acknowledgement
- Acknowledgement
Schlagwörter für diesen Artikel
Disseminated intravascular coagulation;
peripartum hemorrhage;
ultrasonography;
uterotonic
Artikel in diesem Heft
- Expert panel recommendation
- Diagnosis and treatment of peripartum bleeding
- Original articles – Obstetrics
- Transvaginal ultrasonographic measurement of cervical length in predicting intra-amniotic infection and impending preterm delivery in preterm labor: a comparison with amniotic fluid white blood cell count
- Visfatin/Pre-B cell colony-enhancing factor in amniotic fluid in normal pregnancy, spontaneous labor at term, preterm labor and prelabor rupture of membranes: an association with subclinical intrauterine infection in preterm parturition
- The antenatal identification of funisitis with a rapid MMP-8 bedside test
- Can neonatal myasthenia gravis be predicted?
- Blood loss in low-lying placenta: placental edge to cervical internal os distance of less vs. more than 2 cm
- History-indicated cerclage: practice patterns of maternal-fetal medicine specialists in the USA
- Original article – Fetus
- Jugular lymphatic sacs in the first trimester of pregnancy: the prevalence and the potential value in screening for chromosomal abnormalities
- Umbilical cord thickness in the first and early second trimesters and perinatal outcome
- Sex-specific charts for abdominal circumference in term and near-term Caucasian newborns
- Prediction of adverse perinatal outcome at term in small-for-gestational age fetuses: comparison of growth velocity vs. customized assessment
- Original article – Newborn
- Neonatal neurological morbidity associated with uterine rupture
- Short communication
- Long-term epidural block treatment in patients with early threatening preterm delivery and vaginal fetal engagement
- Letters to the editor
- Milk of women with lifetime consumption of the recommended daily intake of fish fatty acids should constitute the basis for the DHA contents of infant formula
- Reversible facial nerve palsy secondary to nasal continuous positive airway pressure
- Optimal timing of elective cesarean delivery for twins
- Congress Calendar
- Congress Calendar
- Index Volume 36 (2008)
- Index Volume 36 (2008) - Contents
- Index - Subjects
- Index - Subjects
- Index - Authors
- Index - Authors
- Acknowledgement
- Acknowledgement
