[An update of the obstetrics hemorrhage treatment protocol]

Abstract

Obstetric hemorrhage is still a major cause of maternal and fetal morbimortality in developed countries. This is an underestimated problem, which usually appears unpredictably. A high proportion of the morbidity of obstetric hemorrhage is considered to be preventable if adequately managed. The major international clinical guidelines recommend producing consensus management protocols, adapted to local characteristics and keep them updated in the light of experience and new scientific publications. We present a protocol updated, according to the latest recommendations, and our own experience, in order to be used as a basis for those anesthesiologists who wish to use and adapt it locally to their daily work. This last aspect is very important to be effective, and is a task to be performed at each center, according to the availability of resources, personnel and architectural features.

Keywords: Anestesia obstétrica; Cesarean section; Cesárea; Complicaciones del embarazo; Hemorragia postparto; Hemorragia uterina; Obstetrical anesthesia; Postpartum hemorrhage; Pregnancy complications; Uterine hemorrhage.