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Severe Peripartum Hemorrhage 

Severe Peripartum Hemorrhage
Severe Peripartum Hemorrhage

Joy L. Hawkins

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date: 19 June 2021

Peripartum hemorrhage remains an important cause of maternal morbidity and mortality. Antepartum factors contributing to hemorrhage risk include abnormal placentation, while in the postpartum period uterine atony is the most common cause. Regardless of etiology, early recognition and timely treatment of peripartum hemorrhage is necessary to prevent massive blood loss and to improve outcomes for the mother and neonate. Massive transfusion protocols are crucial to successful resuscitation, and during situations of significant hemorrhage providers should also consider use of cell salvage, uterine artery embolization, antifibrinolytics, and clotting factor concentrates. Appropriate teamwork can lead to favorable outcomes even in cases of massive hemorrhage.

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