Optimal management of postpartum hemorrhage.
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.


CONCLUSIONS
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.
Liu
J
J
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing 100730, China. tao-aus@hotmail.com
Han
F
F
Bian
X
X
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D016896:Treatment Outcome