Role of anaesthetist in antepartum haemorrhage- A complete review
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 12
Abstract
Maternal mortality is a matter of great concern in developed and developing nations. More than 25%of maternal deaths can be attributed to haemorrhage.Availability, of trained birth attendant and emergency medical services are the main objectives for achieving the Millennium Development Goal 2015 of reducing maternal mortality rate to 109/100,000from the present 190.One of the major shortcomings for providing high quality emergency obstetric care is a serious shortage of specialists such as obstetricians and anaesthetists at various levels in rural setting.Anaesthetists, perhaps the only perioperative physicians in labour room and operating room with special training in resuscitation and critical care get involved early in management of these bleeding patients. The differences in management options between antepartum haemorrhage (APH) and postpartum haemorrhage (PPH) are that there are two individuals to care for in APH and that delivery of the fetus and placenta will help to arrest the bleeding.. The greatest threat in APH is not to the mother but her fetus. Thus a multidisciplinary approach and team effort involving the obstetrician, anaesthetist, haematologist neonatologist, midwifery and paramedic operation theatre staff can go a long way in averting impending death and disability. In this guideline we shall discuss the latest trends in management of APH so that mothers and babies lives and not in jeopardy. Keywords:placenta praevia;accreta; abruption;. Uterine rupture; anaesthetic management.
Authors and Affiliations
Suchitra Malhotra, Reena Mahajan, Kiran Bhatia, Mohinder Kumar, Prachi Renjhen
Keywords
Related Articles
- EP ID EP373316
- DOI -
- Views 86
- Downloads 0
Clinical Study of Etiology, Risk Factors and Outcome of Stroke in Pregnancy
Abstract: Stroke is the second leading cause of death of women even in the developed countries. Stroke associated with pregnancy has been long recognized and may partly be responsible for this increased incidence. Stroke...
Different Shades of Acute Respiratory Distress Syndrome
This observational study was planned to identify the major etiological factors associated with ARDS. A total of 40 patients admitted in Intensive care unit of Sri Aurobindo Medical College and PG institute, Indore and de...
Correlation between TransvaginalSonography and Histopathological Examination Findings in Women with Postmenopausal Bleeding
Abstract: Postmenopausal bleeding (PMB) accounts for 5% of all gynaecological Outpatient Department visits. PMB must be regarded as a symptom of genital tract malignancy until proved otherwise. Objective of the current s...
Role of Ultrasound in Male Infertility
The aims of our study is to evaluate the role of ultrasonography to identify any intra and extra testicular causes of male infertility and to correlate ultrasonographic findings with clinical and laboratory findings. Thi...
Clinical significance of FGF-23 in Chronic Kidney Disease Patients
Fibroblast growth factor 23 (FGF-23) is a potent regulator of serum phosphate level. In CKD, circulating FGF-23 levels gradually increase with declining renal function. Higher FGF-23 level was associated with higher athe...