Postpartum Hemorrhage

Ramanathan, Gowri; Arulkumaran, Sabaratnam

doi:10.1016/s1701-2163(16)32308-8

Cited by 49 publications

(49 citation statements)

References 20 publications

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“…Bu nedenle, antenatal izlem sırasında kanama için yüksek risk altında olan kadınları saptamaya çalışmak önem taşımaktadır. 6,9 PPK sebep ve risk faktörlerini anlamak için, ilk önce doğum sonrası kanamayı engelleyecek fizyolojik proçeslerin tam olarak anlaşılması gerekmektedir. Doğum sonrası en sık kanama odağı plasental bölgedir.…”

Section: Discussionunclassified

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Management of Postpartum Haemorrhage Due to Uterine Anomalies or the Asymmetric Uterus Growth: Two Case Report and Literature Review

Alanbay¹,

Öztürk²,

Karaşahin³

2017

Turkiye Klinikleri J Gynecol Obst

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Section: Discussionunclassified

“…PPK sırasında uterusun hızlıca gözden geçirilmesi gerekmektedir. 6 Uterin kompresyon, masaj, oksitosin infüzyonu gibi konservatif tedavilere yanıt alınamayan hastalarda ikinci basamak olarak konservatif cerrahi yöntemlere geçilmektedir. Bu yöntemlerden en sık kullanılan "uterin kompresyon" sü-türleridir.…”

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Management of Postpartum Haemorrhage Due to Uterine Anomalies or the Asymmetric Uterus Growth: Two Case Report and Literature Review

Alanbay¹,

Öztürk²,

Karaşahin³

2017

Turkiye Klinikleri J Gynecol Obst

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“…PPH is defi ned as an estimated blood loss in excess of 500 mL following a vaginal birth or a blood loss of greater than 1,000 mL following cesarean birth [2]. PPH is classifi ed as primary and secondary.…”

confidence: 99%

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall

Park

Han

2011

Korean J Obstet Gynecol

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Puerperal genital hematomas are uncommon causes of postpartum hemorrhage but can be a cause of serious morbidity and even maternal death. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or found as delayed postpartum hemorrhage, there is a high risk of shock. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on 2nd postpartum day. Th is is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Keywords Copyright © 2011. Korean Society of Obstetrics and GynecologyPostpartum hemorrhage (PPH) is the most signifi cant cause of maternal morbidity and mortality worldwide [1]. PPH is defi ned as an estimated blood loss in excess of 500 mL following a vaginal birth or a blood loss of greater than 1,000 mL following cesarean birth [2]. PPH is classifi ed as primary and secondary. Primary PPH occurs within 24 hours of delivery and secondary PPH after 24 hours and within 6-12 weeks post-partum. Puerperal genital hematomas are uncommon causes of PPH but can be a cause of serious morbidity and even maternal death [3]. The incidence of puerperal genital hematoma ranges from 1/300 to 1/1,400. Puerperal genital hematomas can be classified into vulvar, vulvovaginal, paravaginal, retroperitoneal or supravaginal type according to location [4]. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or are found as delayed postpartum hemorrhage, there is a high risk of shock. A close monitoring and prompt treatment should be required. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on postpartum 2nd day. It was suggested to be originated from injury of left vaginal artery. Case ReportA 33-year-old woman (gravida 2, para 2) presented at emergency room with moderate left perineal pain and left lower quadrant abdominal pain. The patient spontaneously delivered a large baby (4.2 kg) after induction of labor two days ago. Physical examination showed tenderness and rebound tenderness on left lower abdominal area. The uterus was fi rm and the fundus was below umbilicus. The vaginal bleeding or laceration was not found on CASE REPORT Korean J

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“…From that uterine atony is seen as the most frequent etiology [1]. According to the World Health Organization (WHO) criteria, primary postpartum hemorrhage is defined as blood loss more than 500 mL in the first 24 hours postpartum [2].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of process management of postpartum hemorrhage due to uterine atony

Holzer¹,

Lehner²

2013

OJOG

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Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum hemorrhage due to uterine atony with an estimated blood loss of more than 800 mL, in which standardized guidelines were obtained. We included all women who gave birth at the General Hospital of Vienna, the Medical University Vienna, during the period from January 1 st 2003 and December 31 st 2009 and who suffered blood loss 800 mL at minimum due to uterine atony. Results: The guidelines were in use for 14% -71%. The average blood loss of the 24 cases with uterine atony was 1342 mL. Conclusion: The management process of postpartum hemorrhage due to uterine atony deviates from the hospital's guidelines in many cases.

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Postpartum Hemorrhage

Cited by 49 publications

References 20 publications

Management of Postpartum Haemorrhage Due to Uterine Anomalies or the Asymmetric Uterus Growth: Two Case Report and Literature Review

Management of Postpartum Haemorrhage Due to Uterine Anomalies or the Asymmetric Uterus Growth: Two Case Report and Literature Review

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall

Evaluation of process management of postpartum hemorrhage due to uterine atony

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