|Diagnosis and treatment of peripartum bleeding.|
|PMID: 18783309 Owner: NLM Status: MEDLINE|
|Severe peripartum hemorrhage (PPH) contributes to maternal morbidity and mortality and is one of the most frequent emergencies in obstetrics, occurring at a prevalence of 0.5-5.0%. Detection of antepartum risk factors is essential in order to implement preventive measures. Proper training of obstetric staff and publication of recommendations and guidelines can effectively reduce the frequency of PPH and its resulting morbidity and mortality. Therefore, an interdisciplinary expert committee was formed, with members from Germany, Austria, and Switzerland, to summarize recent scientific findings. An up-to-date presentation of the importance of embolization and of the diagnosis of coagulopathy in PPH is provided. Furthermore, the committee recommends changes in the management of PPH including new surgical options and the off-label use of recombinant factor VIIa.|
|Wolfgang Henrich; Daniel Surbek; Franz Kainer; Oliver Grottke; Hartmut Hopp; Holger Kiesewetter; Jürgen Koscielny; Holger Maul; Dietmar Schlembach; Georg-Friedrich von Tempelhoff; Werner Rath|
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|Type: Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't|
|Title: Journal of perinatal medicine Volume: 36 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 2008|
|Created Date: 2008-11-07 Completed Date: 2009-02-12 Revised Date: -|
Medline Journal Info:
|Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany|
|Languages: eng Pagination: 467-78 Citation Subset: IM|
|Department of Obstetrics, Charité-University Medicine Berlin, 13353 Berlin, Germany. Wolfgang.Henrich@charite.de|
|APA/MLA Format Download EndNote Download BibTex|
Coagulants / therapeutic use
Disseminated Intravascular Coagulation / diagnosis, epidemiology, therapy
Factor VII / therapeutic use
Methylergonovine / therapeutic use
Oxytocics / therapeutic use
Oxytocin / therapeutic use
Placenta, Retained / epidemiology, therapy
Postpartum Hemorrhage / diagnosis*, epidemiology, therapy*
Pregnancy Complications, Hematologic / epidemiology, therapy
Prostaglandins / therapeutic use
Uterine Inertia / epidemiology, therapy
Uterine Rupture / epidemiology, therapy
Uterus / pathology, surgery
|0/Coagulants; 0/Oxytocics; 0/Prostaglandins; 113-42-8/Methylergonovine; 50-56-6/Oxytocin; 9001-25-6/Factor VII|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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