Intensive Care Management after Major Postpartum Hemorrhage

The admission of obstetric patients to the intensive care unit (ICU) is relatively infrequent. Critically ill patients who have sustained postpartum hemorrhage (PPH) are more likely to be sent for after care which involves continuation of resuscitation measures, repetitive and intensive monitoring, and appropriate organ support. Management of this subgroup of obstetric patients must take into account normal physiological changes that occur during pregnancy, the aim being to ensure adequate oxygen delivery and tissue perfusion.