title: Acute volume resuscitation following obstetric hemorrhage.
abstract: Hemorrhage remains a leading cause of pregnancy-related morbidity and mortality. A rapid collaborative approach to management of the woman experiencing excessive blood loss is required to optimize outcomes. Successful treatment of the hemorrhaging pregnant woman is dependent on early recognition of bleeding and clinical manifestations of shock, treatment of the underlying cause of the hemorrhage, and simultaneous restoration of adequate circulating volume as well as blood component therapy. Early communication with providers, identified triggers for changes in patient condition, and drills/simulations with the multidisciplinary healthcare team are critical strategies for improving response and outcomes.
authors.affiliation: Department of Nursing Education and Professional Development, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA. donna.j.ruth@vanderbilt.edu
authors.forename: Donna
authors.initials: D
authors.lastname: Ruth
authors.forename: Betsy B
authors.initials: BB
authors.lastname: Kennedy
mesh_terms: D016913:Blood Component Transfusion / Q000009:adverse effects; D015942:Factor VIIa / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D011994:Recombinant Proteins / Q000009:adverse effects / Q000627:therapeutic use; D012769:Shock / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D011994:Recombinant Proteins; C103587:recombinant FVIIa; D015942:Factor VIIa