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Forewarned is forearmed in massive obstetric haemorrhage 

Forewarned is forearmed in massive obstetric haemorrhage
Chapter:
Forewarned is forearmed in massive obstetric haemorrhage
Author(s):

Julia Kopeika

DOI:
10.1093/med/9780199654994.003.0019
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date: 02 July 2020

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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