Major Obstetric Hemorrhage

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.