Prevention of postpartum hemorrhage

Veronica Gonzalez-Brown; Patrick Schneider

doi:10.1016/j.siny.2020.101129

Prevention of postpartum hemorrhage

Semin Fetal Neonatal Med. 2020 Oct;25(5):101129. doi: 10.1016/j.siny.2020.101129. Epub 2020 Jul 15.

Authors

Veronica Gonzalez-Brown¹, Patrick Schneider²

Affiliations

¹ Division Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH, USA.
² Division Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Patrick.Schneider@osumc.edu.

PMID: 32782215
DOI: 10.1016/j.siny.2020.101129

Abstract

Postpartum hemorrhage is a leading cause of severe maternal morbidity and mortality worldwide and the United States. While the rates of maternal mortality attributable to hemorrhage are declining, severe maternal morbidity continues to be a growing problem. Efforts in recent years to more appropriately identify patients at risk, define significant hemorrhage, quantify blood loss, and standardize approaches to care in pregnancy and postpartum have led to an increasing preventability of PPH. We aim to review the most current recommendation for the prevention and effective management of obstetric hemorrhage.

Keywords: Management; Massive transfusion; Obstetrical hemorrhage; Postpartum hemorrhage; Prevention.

Publication types

Review

MeSH terms

Delivery, Obstetric / mortality
Female
Humans
Maternal Mortality
Monitoring, Physiologic
Postnatal Care / methods*
Postpartum Hemorrhage / etiology
Postpartum Hemorrhage / mortality*
Postpartum Hemorrhage / prevention & control*
Pregnancy
Risk Factors
Severity of Illness Index*
United States