engleski

MANAGEMENT OF MASSIVE POSTPARTUM HAEMORRIIAGE AFTER VAGINAL LABOUR IN MULTIPARA WITH PRIMARY CAESAREAN SBCTION DELIVERY

Purpose of this review is a postpartum hemorrhage (PPH) as a leading cause of maternal mortidity and mortality in worldwide. Recognition of PPH is challenging, but once hemorrhage is recognized, management needs to focus on achieving adequate uterine tone and maintaining maternal hemodynamic stability. Recent findings indicate in the understanding of at-risk parturients, and the use of hemorrhage protocols and safety bundles to improve patient outcomes. There are many new advances in transfusion management (e. g. fibrinogen concentrate, prothrombin complex concentrate, tranexamic acid) that can compliment traditional component therapy. Although postpartum hemorrhage itself may not be preventable, early identification ofblood loss, and mobilization of resources may preventa dverseo utcomes

postpartum hemorrhage, vaginal labour after cesarean section, transfusion strategies

0