Current Concepts in the Treatment of Major Obstetric Hemorrhage

Major obstetric hemorrhage (MOH) is one of the top three causes of morbidity and mortality in the United States and the main cause of maternal death in the developing world. The growing number of multiple cesarean deliveries, augmented labors, pregnant women of advanced maternal age, maternal obesity, or abnormal placentation have a direct correlation with the observed increase in peripartum blood loss. As awareness of the morbidity and mortality associated with MOH increases, new diagnostic and therapeutic modalities are evolving to address this public health threat. This review presents current opinions and recent clinical advances in the diagnosis and management of, and resuscitation after, massive obstetric hemorrhage.