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.
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.
Sources
Czech Society of Anaesthesiology and Intensive Care Medicine guidelines - update 2017
http://www.csarim.cz/storage/app/media/Doporucene%20postupy%20a%20stanoviska%20CSARIM/PERIPARTALNI_ZIVOT_OHROZUJICI_KRVACENI_MEZIOBOROVE_KONSENSUALNI_STANOVISKO_2011.pdf
SILBERNAGL, Stefan a Agamemnon DESPOPOULOS. Atlas of Human Physiology : 6th edition, completely redesigned and expanded. 3rd edition. Praha : Grada, 2004. ISBN 80-247-0630-X
KITTNAR, Otomar a ET AL.. Medical physiology. 1st edition. Praha : Grada, 2011. 790 s. s. 151. ISBN 978-80-247-3068-4.
Other versions of the algorithm
Related algorithms
- Anaphylaxis in obstetrics - amniotic fluid embolism
- Peripartal bleeding - 2013
- Newborn resuscitation - 2014
- Life-threatening haemorrhage - 2014
- Caesarean section
- Obstetric analgesia
- Resuscitation of pregnant woman
- Traumatic life-threatening hemmorhage
- Triage and hospital surge plan
- Preoperative evaluation and patient preparation
- Life-threatening Bleeding - 2018
