- Foreword
- Expert Faculty Profiles
- Contributors
- Abbreviations
- MRCOG syllabus: curriculum maps
- Case 1 A ‘classic’ case of heavy menstrual bleeding?
- Case 2 Severe endometriosis in a young woman with unexpected end-organ failure
- Case 3 Pregnancy of unknown location: a diagnostic and management dilemma
- Case 4 Pre-implantation genetic diagnosis in oligozoospermia
- Case 5 Recurrent miscarriage: is conservative management the best we can offer?
- Case 6 Lethal congenital abnormalities: the importance of a multidisciplinary approach
- Case 7 Monochorionic diamniotic twin pregnancy complicated by twin–twin transfusion syndrome
- Case 8 ‘Rescue’ cerclage after bulging membranes at 22 weeks: delaying the inevitable?
- Case 9 Early-onset fetal growth restriction
- Case 10 Dilemmas of preterm birth
- Case 11 Pulmonary hypertension in pregnancy
- Case 12 The challenges and controversies of pregnancy and diabetes
- Case 13 HIV in pregnancy: the dilemmas of management
- Case 14 SLE in pregnancy: lupus nephritis flare or pre-eclampsia—a diagnostic challenge
- Case 15 Management of a pregnant woman with morbid obesity
- Case 16 Early-onset preeclampsia: balancing maternal and neonatal morbidity
- Case 17 Vaginal birth after caesarean section
- Case 18 Maternal pyrexia: challenges in optimal perinatal management
- Case 19 Forewarned is forearmed in massive obstetric haemorrhage
- Case 20 Premature ovarian failure: not the same as the ‘normal’ menopause
- Case 21 Treating urinary incontinence: an evolving challenge for us all
- Case 22 Post-menopausal bleeding
- Case 23 Recurrent ovarian cancer
- Case 24 Cervical cancer
- Index
(p. 243) Forewarned is forearmed in massive obstetric haemorrhage
- Chapter:
- (p. 243) Forewarned is forearmed in massive obstetric haemorrhage
- Author(s):
Julia Kopeika
- DOI:
- 10.1093/med/9780199654994.003.0019
Postpartum haemorrhage is the commonest life-threatening obstetric emergency that justifies our professional existence. We treat it successfully most of the time, but cannot take any haemorrhage for granted, as this case shows. However, a combination of training, regular drills, and skills, clinical experience, and reflection prepare doctors for the next cases. This case describes a massive postpartum haemorrhage following the induction of labour of an obese multiparous woman. It illustrates several important points in the diagnosis and management of postpartum haemorrhage, and the typical challenges on the frontline of care. The value of early recognition, involvement of experienced staff, efficient communication, and multidisciplinary teamwork (particularly with the haematologist and anaesthetist) is central to the successful management of a sick patient such as this.
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- Foreword
- Expert Faculty Profiles
- Contributors
- Abbreviations
- MRCOG syllabus: curriculum maps
- Case 1 A ‘classic’ case of heavy menstrual bleeding?
- Case 2 Severe endometriosis in a young woman with unexpected end-organ failure
- Case 3 Pregnancy of unknown location: a diagnostic and management dilemma
- Case 4 Pre-implantation genetic diagnosis in oligozoospermia
- Case 5 Recurrent miscarriage: is conservative management the best we can offer?
- Case 6 Lethal congenital abnormalities: the importance of a multidisciplinary approach
- Case 7 Monochorionic diamniotic twin pregnancy complicated by twin–twin transfusion syndrome
- Case 8 ‘Rescue’ cerclage after bulging membranes at 22 weeks: delaying the inevitable?
- Case 9 Early-onset fetal growth restriction
- Case 10 Dilemmas of preterm birth
- Case 11 Pulmonary hypertension in pregnancy
- Case 12 The challenges and controversies of pregnancy and diabetes
- Case 13 HIV in pregnancy: the dilemmas of management
- Case 14 SLE in pregnancy: lupus nephritis flare or pre-eclampsia—a diagnostic challenge
- Case 15 Management of a pregnant woman with morbid obesity
- Case 16 Early-onset preeclampsia: balancing maternal and neonatal morbidity
- Case 17 Vaginal birth after caesarean section
- Case 18 Maternal pyrexia: challenges in optimal perinatal management
- Case 19 Forewarned is forearmed in massive obstetric haemorrhage
- Case 20 Premature ovarian failure: not the same as the ‘normal’ menopause
- Case 21 Treating urinary incontinence: an evolving challenge for us all
- Case 22 Post-menopausal bleeding
- Case 23 Recurrent ovarian cancer
- Case 24 Cervical cancer
- Index