Diagnosis and treatment of peripartum bleeding

被引：54

作者：

Henrich, Wolfgang ^{[1
]}

Surbek, Daniel ^{[2
]}

Kainer, Franz ^{[3
]}

Grottke, Oliver ^{[4
]}

Hopp, Hartmut ^{[5
]}

Kiesewetter, Holger ^{[6
,7
]}

Koscielny, Juergen ^{[6
]}

Maul, Holger

Schlembach, Dietmar ^{[8
]}

von Tempelhoff, Georg-Friedrich ^{[9
]}

Rath, Werner ^{[10
]}

机构：

[1] Charite, Dept Obstet, D-13353 Berlin, Germany

[2] Univ Hosp Inselspital Bern, Dept Obstet & Gynecol, CH-3010 Bern, Switzerland

[3] Klinikum Innenstadt, Clin & Policlin Gynecol & Obstet, D-80337 Munich, Germany

[4] Aachen Univ Hosp, Dept Anesthesiol, D-52074 Aachen, Germany

[5] Charite Campus Benjamin Franklin, Clin Obstet, D-12200 Berlin, Germany

[6] Charite Campus Charite Mitte, Inst Transfus Med, D-10117 Berlin, Germany

[7] Univ Heidelberg Hosp, Clin Gynecol, D-69115 Heidelberg, Germany

[8] Med Univ Graz, Univ Hosp Gynecol, A-8036 Graz, Austria

[9] Klinikum Aschaffenburg, Dept Gynecol & Obstet, D-63739 Aschaffenburg, Germany

[10] Aachen Univ Hosp, Dept Gynecol, D-52054 Aachen, Germany

来源：

JOURNAL OF PERINATAL MEDICINE | 2008年 / 36卷 / 06期

关键词：

Disseminated intravascular coagulation; peripartum hemorrhage; ultrasonography; uterotonic;

D O I：

10.1515/JPM.2008.093

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Severe peripartum hemorrhage (PPH) contributes to maternal morbidity and mortality and is one of the most frequent emergencies in obstetrics, occurring at a prevalence of 0.5-5.0%. Detection of antepartum risk factors is essential in order to implement preventive measures. Proper training of obstetric staff and publication of recommendations and guidelines can effectively reduce the frequency of PPH and its resulting morbidity and mortality. Therefore, an interdisciplinary expert committee was formed, with members from Germany, Austria, and Switzerland, to summarize recent scientific findings. An up-to-date presentation of the importance of embolization and of the diagnosis of coagulopathy in PPH is provided. Furthermore, the committee recommends changes in the management of PPH including new surgical options and the off-label use of recombinant factor VIIa.

引用

页码：467 / 478

页数：12

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