Background: Postpartum hemorrhage (PPH) prevention is the main stay and corner stone to achieve millennium developmental goal 5 (MDG5). Maternity nurses play a crucial role in maternal morbidity reduction resulting from PPH competency of maternity directly affects quality treatment health outcomes. Aim: was develop competences for maternity during labor immediate postpartum period reg...

This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins— Obstetrics with the assistance of William N. P. Herbert, MD, and Carolyn M. Zelop, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variatio...

Current Opinion in Obstetrics and Gynecology 2010, 22:242–247 Purpose of review To describe data on the effects of uterine artery embolization (UAE) on fertility. Recent findings UAE is used to treat postpartum hemorrhage (PPH) and fibroids. This effective therapy is replacing surgery in many cases. One of the main goals of UAE is to preserve the uterus and therefore fertility (pregnancies, men...

Postpartum Haemorrhage is a condition of blood loss more than 500 cc that occurs within 24 hours after delivery. hemorrhage significant cause morbidity and mortality in childbirth. about 1% to 6% all deliveries. Uterine atony, the leading primary postpartum hemorrhage, accounts for 70% 80% bleeding. Early prevention cases usage uterotonics third stage labor which has become standard interventio...

Dexmedetomidine is a highly selective α-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension and postpartum hemorrhage, dexmedetomidine can be used for improving overall ...

EXCESSIVE PRIMARY POSTPARTUM HEMORRHAGE (Abstract). The diagnosis and treatment of excessive bleeding within the first 24 hours after delivery and its main causes, namely uterine atony, retained placental fragments, vascular lesions by local tissue rupture, and blood clotting disorder are presented. Of great interest is the iconography, which is suggestive and original.

Management of the third stage of labor has been an issue of discussion, concern, and continued debate for the past two decades. Despite the many strategies employed and the divergent approaches to care and philosophies espoused, there has not been a significant, consistent reduction in the postpartum hemorrhage rates reported in industrialized countries in recent times. This article explores th...

Transcatheter arterial embolization has become a common management option for intractable postpartum uterine hemorrhage. Iodinated contrast agents are commonly used for embolotherapy but cannot be used in patients with renal dysfunction or iodine allergy. A 37-year-old woman spontaneously delivered a healthy girl but developed severe postpartum uterine hemorrhage, probably due to placenta accre...

OBJECTIVE To evaluate the effectiveness of human recombinant activated factor VII (rhFVIIa, NovoSeven) in avoiding hysterectomy postpartum in the management of severe postpartum hemorrhage (PPH). METHODS We performed a prospective cohort study at our university tertiary care center. Patients with severe post partum hemorrhage (blood loss >2000 mL) and failed medical and uterus-preserving surg...

Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum hemorrhage due to uterine atony with an estimated blood loss of more than 800 mL, in which standardized guidelines were...