title: Care bundles for management of obstetrical hemorrhage.
abstract: Peripartum hemorrhage is one of the most preventable causes of maternal mortality worldwide. Much effort has been directed toward creating programs that address deficits in maternity care responsible for preventable hemorrhage-related morbidity and mortality. To have a significant impact on outcomes, such programs must address both providers and processes involved in the delivery of maternity care. At the core of a successful program, are standardized care bundles integrating medical and surgical techniques for managing hemorrhage with principles of transfusion medicine and critical care. In this article, we review the components of the safety bundle for obstetric hemorrhage developed by ACOG District II Safe Motherhood Initiative.
authors.affiliation: Department of Obstetrics and Gynecology, Hofstra North Shore-LIJ School of Medicine, 270-05 76th Ave, Suite 400, New Hyde Park, NY 11040. Electronic address: afleischer@lij.edu.
authors.forename: Adiel
authors.initials: A
authors.lastname: Fleischer
authors.affiliation: Department of Obstetrics and Gynecology, Hofstra North Shore-LIJ School of Medicine, 270-05 76th Ave, Suite 400, New Hyde Park, NY 11040.
authors.forename: Natalie
authors.initials: N
authors.lastname: Meirowitz
mesh_terms: D000465:Algorithms; D001803:Blood Transfusion / Q000379:methods / Q000592:standards; D003661:Decision Support Techniques; D036861:Delivery, Obstetric / Q000379:methods / Q000592:standards*; D005260:Female; D005440:Fluid Therapy / Q000379:methods / Q000592:standards; D006489:Hemostatic Techniques / Q000592:standards; D006801:Humans; D064872:Patient Care Bundles / Q000592:standards*; D061214:Patient Safety / Q000592:standards; D011181:Postnatal Care / Q000379:methods / Q000592:standards*; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D018570:Risk Assessment
keywords: Hemorrhagic shock; Massive transfusion; Maternal Mortality; Peripartum hemorrhage