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 67
- Downloads 0
Incidence of Haemolysin among Group ‘O’ Donors Recruited At a Secondary Health Care Facility
Haemolysins are antibodies or Immunoglobulin which in the presence of complement, cause the lysis of the corresponding red cell antigen. High titre alpha (α) and Beta (β) haemolysin in blood of donors shorten the life s...
Combined Pulmonary Fibrosis and Emphysema (CPFE): A distinct Clinico-Radiological entity
Combined pulmonary fibrosis and emphysema (CPFE) is a common yet under diagnosed entity with imaging findings of both pulmonary emphysema and fibrosis.Many have challenged the definition of CPFE and there still exists a...
Risk Factors Associated With Vulvo vaginal Candidiasis among Women in a Rural Community in Western Uttar Pradesh, India
The objective is to determine risk factors of vulvo vaginal candidiasis (VVC) in women of a rural community. A total of 322 women comprised of 44 HIV-infected, 177 HIV negative and 101 healthy women were included in this...
Assessment of Knowledge and Practice Regarding Breast Feeding Amongst the Lactating Mother
The useful impact of breastfeeding for both mother and infant are outstanding. In spite of its known points of interest, breastfeeding rates are low world over. Substantial number of components influences breastfeeding....
Comparison between unilateral and bilateral polycystic ovaries in adolescent PCOS
Abstract:Classic polycystic ovarian syndrome is described as bilateral ovarian involvement. Rotterdam consensus has defined unilateral polycystic ovary also. Very few studies are in literature regarding unilaterality of...