Peripartum Hemorrhage

2020 ◽  
pp. 59-74
Author(s):  
Nicola M. Dobos ◽  
Tim M. Crozier ◽  
Claire McLintock
Keyword(s):  
Peripartum Hemorrhage

Anesthetic management of peripartum hemorrhage

2000 ◽  
Vol 19 (3) ◽  
pp. 225-236 ◽  
Author(s):  
S.A. Azeez Pasha ◽  
A. Jalil Kooheji ◽  
Akila Azeez
Keyword(s):  
Anesthetic Management ◽  
Peripartum Hemorrhage

scholarly journals Lifting the veil of secrecy: maternal and neonatal outcome of oocyte donation pregnancies in Germany

2021 ◽  
Author(s):  
J. Altmann ◽  
J. Kummer ◽  
F. Herse ◽  
L. Hellmeyer ◽  
D. Schlembach ◽  
...  
Keyword(s):  
High Risk ◽  
Treatment Options ◽  
Mode Of Delivery ◽  
Obstetric Care ◽  
Fetal Outcome ◽  
Oocyte Donation ◽  
University Hospital ◽  
Detailed Knowledge ◽  
Peripartum Hemorrhage ◽  
The Veil

Abstract Background In Germany, performing fertility procedures involving oocyte donation is illegal, as stated by the Embryo Protection Law. Nonetheless, in our clinical routine we attend to a steadily rising number of pregnant women, who have sought oocyte donation abroad. Due to the legal circumstances many women opt to keep the origin of their pregnancy a secret. However, studies have shown, that oocyte donation is an independent risk factor for the development of pregnancy complications, such as preeclampsia. Objective The aim of this study is to evaluate maternal and neonatal outcomes of oocyte donation pregnancies in three large obstetric care units in Berlin, Germany. Methods We retrospectively analyzed all available medical data on oocyte donation pregnancies at Charité University hospital, Vivantes Hospital Friedrichshain, and Neukoelln in the German capital. Results We included 115 oocyte donation (OD) pregnancies in the present study. Our data are based on 62 singleton, 44 twin, 7 triplet, and 2 quadruplet oocyte donation pregnancies. According to our data, oocyte donation pregnancies are associated with a high risk of adverse maternal and fetal outcome, i.e., hypertension in pregnancy, preterm delivery, Cesarean section as mode of delivery, and increased peripartum hemorrhage. Conclusion Although oocyte donation is prohibited by German law, many couples go abroad to seek reproductive measures using oocyte donation after former treatment options have failed. OD pregnancies are associated with a high risk of preeclampsia, C-section as mode of delivery, and peripartum hemorrhage. Detailed knowledge of the associated risks is of utmost importance to both the patient and the treating physician and midwife.

Peripartum Hemorrhage

2002 ◽  
pp. 449-450
Author(s):  
Steven H. Rose ◽  
K. A. Kelly McQueen
Keyword(s):  
Peripartum Hemorrhage

The Obstetric Patient for Cardiac Surgery

2019 ◽  
pp. 335-340
Author(s):  
Lauren Powlovich ◽  
Amanda M. Kleiman
Keyword(s):  
Heart Failure ◽  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Cardiac Disease ◽  
Medical Management ◽  
Heart Defects ◽  
Pregnant Patient ◽  
Developed Countries ◽  
Peripartum Hemorrhage ◽  
In Pregnancy

Cardiac disease is the second leading cause of morbidity and mortality in pregnancy behind peripartum hemorrhage. In developed countries, a majority of cardiac disease in pregnancy is secondary to congenital heart defects, whereas in developing countries, mitral stenosis secondary to rheumatic fever prevails as the leading cause of cardiac disease during pregnancy. There is added workload on the heart during pregnancy due to the increased blood volume and cardiac output of the parturient. In patients with preexisting cardiac disease, this added workload may lead to decompensated congestive heart failure. Alternatively, such physiologic changes may unmask an unknown cardiac lesion in an unsuspecting patient. Medical management is always the first-line treatment of the pregnant patient with decompensated heart failure. However, if medical management has failed, cardiac surgery with cardiopulmonary bypass may be necessary. Due to the unique maternal physiology and the presence of not only one but also two patients, anesthesia, cardiac surgery, and cardiopulmonary bypass come with specific challenges, hemodynamic goals, and ethical dilemmas.

Severe Peripartum Hemorrhage

2017 ◽  
Author(s):  
Joy L. Hawkins
Keyword(s):  
Early Recognition ◽  
Massive Hemorrhage ◽  
Clotting Factor ◽  
Artery Embolization ◽  
Successful Resuscitation ◽  
Maternal Morbidity And Mortality ◽  
Peripartum Hemorrhage ◽  
Hemorrhage Risk ◽  
Clotting Factor Concentrates ◽  
Timely Treatment

Peripartum hemorrhage remains an important cause of maternal morbidity and mortality. Antepartum factors contributing to hemorrhage risk include abnormal placentation, while in the postpartum period uterine atony is the most common cause. Regardless of etiology, early recognition and timely treatment of peripartum hemorrhage is necessary to prevent massive blood loss and to improve outcomes for the mother and neonate. Massive transfusion protocols are crucial to successful resuscitation, and during situations of significant hemorrhage providers should also consider use of cell salvage, uterine artery embolization, antifibrinolytics, and clotting factor concentrates. Appropriate teamwork can lead to favorable outcomes even in cases of massive hemorrhage.

scholarly journals Emergency peripartum hysterectomy: a 7-year review at tertiary hospital

2019 ◽  
Vol 8 (9) ◽  
pp. 3812
Author(s):  
Manjula S. K. ◽  
Suvarchala Katakam ◽  
Shobha G.
Keyword(s):  
Risk Factors ◽  
Tertiary Hospital ◽  
Bladder Injury ◽  
Abnormal Placentation ◽  
Peripartum Hysterectomy ◽  
Life Saving ◽  
Peripartum Hemorrhage ◽  
Emergency Peripartum Hysterectomy ◽  
Saving Measure ◽  
Record Review

Emergency peripartum hysterectomy (EPH) is a major obstetric procedure, usually performed as a life-saving measure in cases of intractable obstetric hemorrhage. The aim of this study was to determine the incidence, indications and the risk factors and complications of emergency peripartum hysterectomy (EPH). The medical records of 13 patients who had undergone EPH, between January 2012 and December 2018, were reviewed retrospectively. All necessary data was obtained by record review. The mean age of pregnant women was 30 year. There were 13 EPHs out of 15768 deliveries, a rate of 0.82 per 1,000 deliveries. Out of 13 women who underwent EPHs, 8 hysterectomies were performed after cesarean delivery and 5 after vaginal delivery. The most common indication for hysterectomy was abnormal placentation (7/13), followed by atony (4/13), rupture of scared uterus (1/13) and rupture of unscared uterus (1/13). There were two cases of intra-operative bladder injury, we had 1/13 maternal death because of EPH. There were no cases of neonatal mortality. In our series, abnormal placentation was the most common of indication for EPH. The risk factors for EPH were previous CS for abnormal placentation and placental abruption for uterine atony and peripartum hemorrhage. Limiting the number of CS deliveries would bring a significant impact on decreasing the risk of EPH.

PERIPARTUM HEMORRHAGE

1999 ◽  
Vol 26 (2) ◽  
pp. 385-398 ◽  
Author(s):  
Vito Alamia ◽  
Bruce A. Meyer
Keyword(s):  
Peripartum Hemorrhage

Vaginal omentum prolapse due to uterine anterior wall necrosis after prophylactic compression suture for postpartum hemorrhage: case report and review of the literature

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Vera Seidel ◽  
Thorsten Braun ◽  
Radoslav Chekerov ◽  
Andreas Nonnenmacher ◽  
Jan-Peter Siedentopf ◽  
...  
Keyword(s):  
Case Report ◽  
Postpartum Hemorrhage ◽  
Anterior Wall ◽  
Careful Consideration ◽  
Publication Date ◽  
Industrialized Countries ◽  
Second Stage ◽  
Pubmed Database ◽  
Peripartum Hemorrhage ◽  
Compression Suture

Abstract Introduction Postpartum or peripartum hemorrhage (PPH) is a major cause of maternal death in Western industrialized countries. Fertility preserving second stage interventions following uterotonic drugs include embolization or ligation of relevant arteries, uterine tamponade or compression sutures. Little is known about the complications due to uterine compression sutures. We describe a case report in association with uterine compression sutures and provide a systematic review on necrosis due to compression sutures (CSU). Data sources A PubMed database search was done up to October 1, 2016 without any restrictions of publication date or journal, using the following key words: “compression suture” and “postpartum hemorrhage” or “peripartum hemorrhage”. Reported cases were considered eligible when reason for postpartum hemorrhage (PPH), type of compression suture, suture material and type of complication were described. Results Among 199 publications a total of 11 reported on uterus necrosis after CSU applied for PPH. B-Lynch and modifications were applied in seven cases, Cho compression sutures in three cases and in one case B-Lynch and Cho techniques were combined. In six cases no additional measures were applied, in two cases vessel ligation, in one case embolization and in one case intrauterine balloon application were applied. In one case of partial necrosis it is not reported if additional measures were applied. Discussion and conclusion Uterine compression sutures are a useful method for fertility preserving management of postpartum hemorrhage. The risk of serious complications demands the careful consideration of its use. More research is necessary to improve the technique.

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