title: [An update of the obstetrics hemorrhage treatment protocol].
abstract: Obstetric hemorrhage is still a major cause of maternal and fetal morbimortality in developed countries. This is an underestimated problem, which usually appears unpredictably. A high proportion of the morbidity of obstetric hemorrhage is considered to be preventable if adequately managed. The major international clinical guidelines recommend producing consensus management protocols, adapted to local characteristics and keep them updated in the light of experience and new scientific publications. We present a protocol updated, according to the latest recommendations, and our own experience, in order to be used as a basis for those anesthesiologists who wish to use and adapt it locally to their daily work. This last aspect is very important to be effective, and is a task to be performed at each center, according to the availability of resources, personnel and architectural features.
authors.affiliation: Servicio de Anestesiología, Hospital Gregorio Marañón, Madrid, España. Electronic address: EFFEMORI@telefonica.net.
authors.forename: F
authors.initials: F
authors.lastname: Morillas-Ramírez
authors.affiliation: Servicio de Anestesiología, Hospital Virgen del Camino, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: J R
authors.initials: JR
authors.lastname: Ortiz-Gómez
authors.affiliation: Servicio de Anestesiología, Hospital Gregorio Marañón, Madrid, España.
authors.forename: F J
authors.initials: FJ
authors.lastname: Palacio-Abizanda
authors.affiliation: Servicio de Anestesiología, Hospital Puerta de Hierro, Majadahonda, Madrid, España.
authors.forename: I
authors.initials: I
authors.lastname: Fornet-Ruiz
authors.affiliation: Servicio de Ginecología, Hospital Gregorio Marañón, Madrid, España.
authors.forename: R
authors.initials: R
authors.lastname: Pérez-Lucas
authors.affiliation: Servicio de Anestesiología, Hospital Gregorio Marañón, Madrid, España.
authors.forename: L
authors.initials: L
authors.lastname: Bermejo-Albares
mesh_terms: D000773:Anesthesia, Obstetrical / Q000379:methods; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D001803:Blood Transfusion; D002585:Cesarean Section; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006474:Hemorrhagic Disorders / Q000150:complications / Q000188:drug therapy; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D007044:Hysterectomy; D007744:Obstetric Labor Complications / Q000517:prevention & control / Q000628:therapy; D006473:Postpartum Hemorrhage / Q000517:prevention & control / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000517:prevention & control / Q000628:therapy*; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy; D011994:Recombinant Proteins / Q000627:therapeutic use; D012307:Risk Factors; D014592:Uterine Hemorrhage / Q000517:prevention & control / Q000628:therapy*; D014593:Uterine Inertia / Q000188:drug therapy
chemical_list: D001779:Blood Coagulation Factors; D006490:Hemostatics; D011994:Recombinant Proteins
keywords: Anestesia obstétrica; Cesarean section; Cesárea; Complicaciones del embarazo; Hemorragia postparto; Hemorragia uterina; Obstetrical anesthesia; Postpartum hemorrhage; Pregnancy complications; Uterine hemorrhage
vernacular_title: Actualización del protocolo de tratamiento de la hemorragia obstétrica.