| Challenges of major obstetric haemorrhage. | |
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MedLine Citation:
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PMID: 20110196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Every minute of every day, a woman dies in pregnancy or childbirth. The biggest killer is obstetric haemorrhage, the successful treatment of which is a challenge for both the developed and developing worlds. The presence of an attendant at every birth and access to emergency obstetric care are key to reducing maternal morbidity and mortality in the developing world while resource-rich countries have a rising caesarean section rate with its consequential effect on the incidence of abnormal placentation and its link with peripartum hysterectomy. Management of obstetric haemorrhage involves early recognition, assessment and resuscitation. Various methods are available to try to stop the bleeding - from pharmacological methods to aid uterine contraction (e.g., oxytocinon, ergometrine and prostaglandins) to surgical methods to stem the bleeding (e.g., balloon tamponade, compression sutures or arterial ligation). Interventional radiology can be used if placenta accreta is suspected. Cell salvage has been introduced into obstetrics relatively recently in an attempt to reduce allogeneic transfusion. |
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Authors:
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Arlene Wise; Vicki Clark |
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Publication Detail:
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Type: Journal Article; Review Date: 2010-01-27 |
Journal Detail:
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Title: Best practice & research. Clinical obstetrics & gynaecology Volume: 24 ISSN: 1532-1932 ISO Abbreviation: Best Pract Res Clin Obstet Gynaecol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-23 Completed Date: 2010-09-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101121582 Medline TA: Best Pract Res Clin Obstet Gynaecol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 353-65 Citation Subset: IM |
Copyright Information:
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2009 Elsevier Ltd. All rights reserved. |
Affiliation:
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Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK. arlene.wise@luht.scot.nhs.uk <arlene.wise@luht.scot.nhs.uk> |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Obstetric Surgical Procedures / methods Postpartum Hemorrhage / drug therapy, therapy* Pregnancy Radiology, Interventional Salvage Therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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