Document Detail


Postpartum hemorrhage: what every radiologist needs to know.
MedLine Citation:
PMID:  22459890     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postpartum hemorrhage is among the most common causes of maternal morbidity and mortality. Postpartum hemorrhage is defined as a blood loss of greater than 500 mL or any amount that, if not replaced, could cause shock or death in the mother. The most common cause of postpartum hemorrhage is uterine atony. This occurs when the normal myometrium fails to contract after delivery of the placenta. The initial treatment involves the administration of intravenous oxytocin and uterine massage. If the initial maneuvers fail to stop the postpartum hemorrhage, other techniques, such as uterine packing, suture techniques, uterine or hypogastric artery ligation, can be considered. In the last 30 years, a new angiographic approach for treatment of postpartum hemorrhage has emerged. Pelvic arterial embolization, after emerging as a treatment option to control and prevent pregnancy-related hemorrhage, has been established to be safe and effective. The goal of treatment for all causes of postpartum hemorrhage is cessation of bleeding in a timely fashion, before the onset of consumptive coagulopathy and end organ damage.
Authors:
Antonio Pinto; Raffaella Niola; Luca Brunese; Fabio Pinto; Matteo Losco; Luigia Romano
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current problems in diagnostic radiology     Volume:  41     ISSN:  1535-6302     ISO Abbreviation:  Curr Probl Diagn Radiol     Publication Date:    2012 May-Jun
Date Detail:
Created Date:  2012-03-30     Completed Date:  2012-07-17     Revised Date:  2012-11-26    
Medline Journal Info:
Nlm Unique ID:  7607123     Medline TA:  Curr Probl Diagn Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Affiliation:
Department of Diagnostic Imaging, Section of General and Emergency Radiology, "A. Cardarelli" Hospital, Naples, Italy. antopin1968@libero.it
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MeSH Terms
Descriptor/Qualifier:
Catheterization / methods
Embolization, Therapeutic / methods*
Female
Humans
Iliac Artery / radiography*
Infusions, Intravenous
Oxytocin / administration & dosage
Postpartum Hemorrhage / etiology,  prevention & control,  radiography*,  therapy*
Pregnancy
Uterine Inertia
Chemical
Reg. No./Substance:
50-56-6/Oxytocin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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