Post-partum haemorrhage

Soma Mukherjee, Sabaratnam Arulkumaran

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Obstetric haemorrhage accounts for 25% of maternal deaths in developing countries and post-partum haemorrhage (PPH) is the most common type. It accounts for 10.6% of all direct maternal deaths in the UK and, according to the recent Confidential Enquiries into Maternal and Child Health report, it is the third most common cause of maternal mortality. The enquiry concluded that a number of these deaths were avoidable and highlighted 'doing too little too late'. Failure to assess the clinical picture, underestimating blood loss, delayed treatment, lack of multidisciplinary team work and failure to seek timely senior help are some of the issues highlighted. Clinicians should be aware of appropriate surgical measures and the timing of interventions. Effective team work, pooling of resources and the presence of a 'rapid PPH response teams' can improve outcome. Crown

Original languageEnglish
Pages (from-to)121-126
Number of pages6
JournalObstetrics, Gynaecology and Reproductive Medicine
Volume19
Issue number5
DOIs
Publication statusPublished - May 2009

Keywords

  • balloon tamponade
  • blood transfusion
  • haemostasis
  • postpartum haemorrhage
  • surgery
  • uterotonics

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