Recommended options in preventing the postpartum hemorrhage
Journal Title: Moldovan Medical Journal - Year 2017, Vol 60, Issue 4
Abstract
Background: Postpartum hemorrhage (PPH) is a major public health problem due to complications that have a direct impact on the most important reproductive health indicators: maternal morbidity and mortality. It is a leading reason for peripartum hysterectomy, admission of pregnant women to intensive care units, and massive blood transfusion. In the most severe cases, hemorrhagic shock may lead to anterior pituitary ischemia, occult myocardial ischemia, dilutional coagulopathy. Post-partum anemia increases the risk of post-partum depression. To decrease the incidence of postpartum hemorrhage the conditions that are known to be associated with PPH and these women should be identified. Careful anamnesis and obstetrical examination should be done to screen for risk factors in pregnancy and labor. To assure minimal blood loss during delivery several measures are proposed in international protocols. The knowledge of prophylaxis measures is useful to reduce maternal mortality and morbidity from PPH. Conclusions: The knowledge of prophylaxis measures is useful to reduce maternal mortality and morbidity from PPH. Actually, for prophylaxis of postpartum hemorrhage, evidence based medicine recommend correction of anaemia, use of the partograph in labor and the close supervision first two hours after the delivery.
Authors and Affiliations
Hristiana Capros, Luminita Mihalcean, Liliana Porfire, Mihail Surguci
Keywords
Related Articles
- EP ID EP487939
- DOI 10.5281/zenodo.1106851
- Views 178
- Downloads 0
Intrauterine growth restriction: contemporary issues in diagnosis and management
Background: Intrauterine growth restriction represents a fetal life treating condition in obstetrics. Diagnosis and appropriate management during pregnancy is essential because of the considerable morbidity and mortality...
Coronary revascularization in patients with ischemic left ventricular dysfunction
Background: Coronary artery disease (CAD) dominates in the contemporary world among the causes of left ventricular dysfunction (LVD). Prognosis of survival and the course of heart failure (HF) are worse in patients with...
Fungal rhinosinusitis: pathophysiology, diagnosis and treatment
Background: Fungal rhinosinusitis is a major clinical problem which should be considered in all patients and immunocompromised patients with chronic rhinosinusitis. It may be non-invasive or invasive with five main subty...
Tuberculosis evolution and treatment outcome in drug addicted patients
Background: Drug injection is considered an important issue for the public health of the Republic of Moldova. In the RM the intravenous drug users (IVDU) are the key population for HIV infection, B and C hepatitis, TB an...
Supportive principles in the pharmacological management of the patients with epilepsy
Background: Pharmacological management of patients with epilepsy is still a very challenging approach for the best outcome of these patients. When considering the appropriate treatment choice for patients it is necessary...