[Anesthesiological approach to postpartum hemorrhage]

Anaesthesist. 2016 Mar;65(3):225-40. doi: 10.1007/s00101-016-0148-5.
[Article in German]

Abstract

Peripartum hemorrhage (PPH) is a frequent obstetric emergency situation with increasing incidence in the last decades. It requires a fast, coordinated and interdisciplinary management. This life-threatening situation is often recognized too late and not adequately treated (too little is done too late); therefore, it is important to be aware of the most important risk factors for PPH known as the 4 Ts (i.e. tonus, trauma, tissue and thrombin). Due to the special patient population there is only little evidence-based data on hemostatic therapy in this situation; therefore, the currently available studies on the therapy of PPH is discussed.

Keywords: Hemorrhage; Hemostatic Techniques; Oxytocin; Thrombelastography; Uterine atony.

Publication types

  • Review

MeSH terms

  • Adult
  • Anesthesia / methods*
  • Cesarean Section
  • Delivery, Obstetric
  • Female
  • Hemostatic Techniques
  • Humans
  • Infant, Newborn
  • Postpartum Hemorrhage / diagnosis
  • Postpartum Hemorrhage / surgery
  • Postpartum Hemorrhage / therapy*
  • Pregnancy