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