[Prevention strategies during pregnancy].
This chapter deals with how to reduce, before delivery, postpartum hemorrhage. The strategy is explained for two risk levels, high and low. Means of prevention such as: logistical organisation; oral and parenteral iron therapy; erythropoietin; autologous blood transfusion; acute hemodilution; transfusion; bleeding disorders treatment; hospitalization, tocolysis, choice of mode of delivery, caesarean section and anaesthetic techniques for placenta praevia or accreta; interest of corticosteroids therapy and magnesium sulfate bleeding risks in severe pre-eclampsia, are addressed in turn. The chapter closes with professional recommendations ranked according levels of evidence founded in the literature.
Bayoumeu
F
F
Service d'Anesthésie-Réanimation, Maternité Régionale, 10, rue du Docteur-Heydenreich, BP 4213, 54042 Nancy Cedex. f.bayoumeu@maternite.chu-nancy.fr
Verspyck
E
E
D005260:Female; D006801:Humans; D007501:Iron / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000517:prevention & control*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011295:Prenatal Care; D012308:Risk Management
D007501:Iron