title: Obstetric hemorrhage.
abstract: Despite the availability of potent drugs, effective surgical techniques, and extensive blood banking facilities, post-partum hemorrhage remains a major cause of death in the United States. A hemorrhage bundle developed by the New York Safe Motherhood Initiative provides clear guidelines for reducing such deaths. This bundle focuses on risk assessment, preparation, diagnosis, and the provision of several management algorithms. Implementation of the protocols and approaches contained in this document, or their equivalent, on a systems basis and a consideration of several additional recommendations for individual care will reduce the likelihood of death from hemorrhage.
authors.affiliation: Baylor College of Medicine, Texas Children's Hospital, Texas Children's Hospital, Women's Pavilion, 6651 Main St, Suite F1096, Houston, TX 77030. Electronic address: slclark@bcm.edu.
authors.forename: Steven L
authors.initials: SL
authors.lastname: Clark
mesh_terms: D000465:Algorithms; D003661:Decision Support Techniques; D036861:Delivery, Obstetric / Q000379:methods / Q000592:standards*; D005260:Female; D006801:Humans; D008428:Maternal Mortality; D009518:New York; D064872:Patient Care Bundles / Q000592:standards*; D061214:Patient Safety; D011181:Postnatal Care / Q000379:methods / Q000592:standards*; D006473:Postpartum Hemorrhage / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D018570:Risk Assessment
keywords: Hemorrhage; maternal mortality; patient safety