Common errors and remedies in managing postpartum haemorrhage.
Postpartum haemorrhage (PPH) is a major contributor to maternal morbidity and mortality. By only examining mortality, the full extent of the problem is not revealed and also it is important to evaluate the avoidable factors. This will identify the areas that need attention. The common errors include not treating anaemia in pregnancy, not practicing active management of the third stage of labour, delay in recognition, substandard care and lack of skills. The remedies include the correct medical treatment of PPH and the use of uterine tamponade. Cell savers can help to reduce the need for transfusion and transfusion associated complications. There are new treatment modalities such as embolisation that can be of value in certain settings.
Lombaard
Hennie
H
Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Pretoria, South Africa. hennie.lombaard@up.ac.za
Pattinson
Robert C
RC
D002983:Clinical Competence; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D015994:Incidence; D008026:Ligation; D008427:Maternal Health Services; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D010120:Oxytocics / Q000008:administration & dosage; D006473:Postpartum Hemorrhage / Q000401:mortality* / Q000517:prevention & control / Q000628:therapy; D011247:Pregnancy; D018570:Risk Assessment; D017741:Survivors / Q000706:statistics & numerical data; D055357:Uterine Artery Embolization / Q000379:methods
D010120:Oxytocics