BACKGROUND Active management of the third stage of labor is recommended for the prevention of post-partum hemorrhage and commonly entails prophylactic administration of a uterotonic agent, controlled cord traction, and uterine massage. While oxytocin is the first-choice uterotonic, it is not known whether its effectiveness varies by route of administration. There is also insufficient evidence r...

This case of a 31-year-old white woman presenting at 32 weeks gestation with vaginal bleeding supports a possible association between constitutional hypofibrinogenemia and third trimester hemorrhage. Clot based fibrinogen assays were persistently low for the third trimester (patient: 102 to 155 mg per dl; normal range: 400 to 650 mg per dl) and at follow-up, ten months post-partum (patient: 90 ...

BACKGROUND Although the effects of uterine arterial embolization (UAE) for the control of post-partum hemorrhage on menstruation, fertility and future pregnancy have been reported before, domestic reports on long-term outcomes are lacking. METHODS From April 2001 to March 2005, 9 patients who underwent UAE for post-partum hemorrhage were evaluated retrospectively. The analyses included both i...

Mr. President and Gentlemen,?I wish to bring before you to-night some of the abnormal conditions which may arise after the birth of the child and placenta. I do not, of course, intend that this paper should be in any way exhaustive of the subject, but simply to lay before you certain post-partum abnormalities which, although not of frequent occurrence, yet occur sufficiently often to merit atte...

PURPOSE Post-partum hemorrhage remains an important cause of significant maternal morbidity and mortality throughout the world. The objective of this study was to review the incidence, indications, predisposing factors, and associated complications of emergency peripartum hysterectomy. METHODS This is a retrospective observational study done in a Tertiary Care Center, Riyadh, Saudi Arabia, be...