Major Obstetric Hemorrhage
Journal
Macedonian Journal of Anaesthesia
Date Issued
2020-04
Author(s)
Abstract
Obstetric hemorrhage is frequently underestimated, so identification of risk factors and
early recognition of MOH is priority for successful outcome. The role of anesthesiologist is
crucial but the management of hemorrhage should be multidisciplinary with precise plan
of action. All obstetric units should have a protocol for the management of hemorrhage
and immediate access to O-Rhesus negative blood. Call for senior help is important. Early
transfusion of blood and blood components reduced the incidence and severity of
coagulopathy and other complications. If hypofibrinogenemia is identified during PPH,
fibrinogen substitution may be an important early intervention. Mandatory testing of
coagulation is recommended to allow rational use of products.
early recognition of MOH is priority for successful outcome. The role of anesthesiologist is
crucial but the management of hemorrhage should be multidisciplinary with precise plan
of action. All obstetric units should have a protocol for the management of hemorrhage
and immediate access to O-Rhesus negative blood. Call for senior help is important. Early
transfusion of blood and blood components reduced the incidence and severity of
coagulopathy and other complications. If hypofibrinogenemia is identified during PPH,
fibrinogen substitution may be an important early intervention. Mandatory testing of
coagulation is recommended to allow rational use of products.
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