Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-68945f75b7-fzmlz Total loading time: 0 Render date: 2024-08-06T05:32:44.011Z Has data issue: false hasContentIssue false

Chapter 5 - Management of Massive Obstetric Haemorrhage

Antepartum, Intrapartum and Postpartum

from Section 2 - Algorithms for Management of the Top Five ‘Direct Killers’

Published online by Cambridge University Press:  06 May 2021

By
Ana Pinas Carillo  and
Edwin Chandraharan
Edited by
Edwin Chandraharan  and
Sir Sabaratnam Arulkumaran
Edwin Chandraharan
Affiliation:
St George's University of London
Sir Sabaratnam Arulkumaran
Affiliation:
St George's University of London
Get access

Summary

Massive obstetric haemorrhage causes significant maternal morbidity and mortality as well as many ‘near misses’. Antepartum haemorrhage due to placental abruption and intrapartum haemorrhage due to uterine rupture are associated with increased perinatal mortality.

Moreover, massive obstetric haemorrhage due to placenta praevia may result in fetal complications secondary to prematurity as well as severe maternal hypovolemia and hypotension.

Type
Chapter
Information
Obstetric and Intrapartum Emergencies
A Practical Guide to Management
 , pp. 35 - 42
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

MBRRACE- UK. Saving lives, improving mother’s care: surveillance of maternal deaths in the UK 2012–2014 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity. 2009–2014.Google Scholar
Chandraharan, E, Arulkumaran, S. Management algorithm for atonic postpartum haemorrhage. J Paediatr Obstet Gynaecol. 2005;June:106–12.Google Scholar
Chandraharan, E, Arulkumaran, S. Massive postpartum haemorrhage and management of coagulopathy. Obstet Gynaecol Reprod Med. 2007;17:119–22.CrossRefGoogle Scholar
Royal College of Obstetricians and Gynaecologists. Prevention and Management of Postpartum Haemorrhage. Green-top Guideline No. 52. London: RCOG, 2016.Google Scholar
Condous, GS, Arulkumaran, S, Symonds, I, et al. The tamponade test for massive postpartum haemorrhage. Obstet Gynecol. 2003;104:767–72.Google Scholar
Chandraharan, E, Arulkumaran, S. Surgical aspects of postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol. 2008;22(6):1089–102.CrossRefGoogle ScholarPubMed
Ratnam, LA, Gibson, M, Sandhu, C, et al. Transcatheter pelvic arterial embolisation for control of obstetric and gynaecological haemorrhage. J Obstet Gynaecol. 2008;28 (6):573–9.CrossRefGoogle ScholarPubMed
Pinas, A, Chandraharan, E. Postpartum haemorrhage and haematological management. Obstet Gynaecol Reprod Med. 2014;24:291–5.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×