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Obstetric haemorrhage 

Obstetric haemorrhage
Obstetric haemorrhage

Sue Catling

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date: 12 July 2020

Major haemorrhage is defined as a single blood loss of >1500 ml, continuing blood loss of 150 ml/hr or a transfusion requirement of 4 units of red cells

The early team approach to managing major haemorrhage will improve the outcome for the mother

Early resuscitation is essential

Early diagnosis of the cause of major haemorrhage will focus therapy and can be easily remembered by thinking of the 4Ts

Specialist techniques of balloon tamponade or B-Lynch suture are effective in persistent uterine atony

Coagulation failure occurs early in obstetric haemorrhage and should be corrected if possible

Aftercare of the mother with regular monitoring of heart rate, blood pressure, urine output will improve outcome.

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