Optimal Management of Postpartum Hemorrhage
10.3760/j.issn:0366-6999.2001.12.012
- VernacularTitle:产后出血的干预性治疗
- Author:
Juntao LIU
1
;
Fengzhen HAN
;
Xuming BIAN
Author Information
1. Peking Union Medical College Hospital
- Keywords:
postpartum hemorrhage;
cause;
optimal management
- From:
Chinese Medical Journal
2001;114(12):1280-1282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the management of postpartum hemorrhage (PPH). Methods Fifteen cases of severe PPH were retrospectively analyzed for clinical parameters and management. Results Nine patients had a hysterectomy while selective arterial embolization was carried out in 7 cases. One patient had focus clearance. The main causes of postpartum hemorrhage requiring operative management were disseminated intravascular coagulation (DIC), uterine arteriovenous fistula and malformation, placental abnormality, uterine myoma and laceration. Conclusion Upon recognition of postpartum hemorrhage, the most effective management should be initiated. Every effort should be made to stabilize the patient and maintain her reproductive capability.