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Peripartum life-threatening haemorrhage - 2018

Peripartum life-threatening hemorrhage is defined as quickly increasing blood loss, which is clinically estimated at 1500 ml and more and which is connected with development of clinical and/or laboratory signs of tissue hypoperfusion.

Author: Assoc. Prof. Petr Štourač, MD, PhD, Eliška Moráňová, Ivo Štrýgl

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: Birth | bleeding | PPH | peripartum | hemorrhage

Educational evel: Undergraduate level | Graduate

Peripartum life-threatening hemorrhage is defined as quickly increasing blood loss, which is clinically estimated at 1500 ml and more and which is connected with development of clinical and/or laboratory signs of tissue hypoperfusion.


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Review

The most frequent cause of maternal morbidity and mortality is postpartum haemorrhage (PPH). A background of PPH is in 70-80 % hypotony or atony of the uterus. This is followed by delivery trauma in 10-15 % and in 1-5 % by placenta adherens or placenta accreta. Disseminated intravascular coagulopathy (DIC) participates in only 1-3 % and mostly it is connected with emboly of foetal water or during abruption of placenta. This practical and well arranged algorithm is led by the anesthesiologist in cooperation with the obstetrician and it leads to a solution of this critical condition in gynecology. The materials are based on the newest czechoslovakian interdisciplinary recommended techniques and guidelines from the year 2018. This brings us to a new and rational view on this problem.
The target of medical effort is to stop PPH and to protect and preserve uterus by using all contemporary accessible methods and medical guidelines.

publikováno: 1.6.2018 | last modified on: 11.9.2019