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Chapter 22 - Postpartum Hemorrhage

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Glenn D. Posner
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During an obstetrics call duty in your tertiary center, you are called urgently to assist in the management of vaginal bleeding in a 42-year-old G7P5A2 after recent vaginal delivery of dichorionic twins at term. Although your colleague was anticipating delivery in the operating room/theater, deliveries occurred in the labor suite. Due to a concurrent emergency, the obstetrician has just stepped out of the patient’s room, leaving the junior trainee to continue assisting you in the care of this patient.

Keywords

Obstetric hemorrhageEarly postpartum hemorrhageRisk factorsComplications, early and lateUterine inversionBlood product replacementPoint-of-care blood clotting analyzerManagementPharmacologic agentsIntrauterine balloon tamponadeNonpneumatic antishock garmentUterine artery embolizationSurgery, fertility-preservingB-Lynch sutureCho suture
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 296 - 312
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

(a)ACOG: Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 183: Postpartum hemorrhage. Obstet Gynecol. 2017;130(4):e168–e186.CrossRefGoogle Scholar
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