Chapter

Obstetric haemorrhage

Sue Catling

in Obstetric Anaesthesia for Developing Countries

Published on behalf of Oxford University Press

ISBN: 9780199572144
Published online May 2011 | e-ISBN: 9780199607488 | DOI: http://dx.doi.org/10.1093/med/9780199572144.003.0017

Series: Oxford Anaesthesia Library

Obstetric haemorrhage

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• Major haemorrhage is defined as a single blood loss of >1500 ml, continuing blood loss of 150 ml/hr or a transfusion requirement of 4 units of red cells • The early team approach to managing major haemorrhage will improve the outcome for the mother • Early resuscitation is essential • Early diagnosis of the cause of major haemorrhage will focus therapy and can be easily remembered by thinking of the 4Ts • Specialist techniques of balloon tamponade or B-Lynch suture are effective in persistent uterine atony • Coagulation failure occurs early in obstetric haemorrhage and should be corrected if possible • Aftercare of the mother with regular monitoring of heart rate, blood pressure, urine output will improve outcome.

Chapter.  3110 words.  Illustrated.

Subjects: Anaesthetics

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