title: [Anesthesiological approach to postpartum hemorrhage].
abstract: Peripartum hemorrhage (PPH) is a frequent obstetric emergency situation with increasing incidence in the last decades. It requires a fast, coordinated and interdisciplinary management. This life-threatening situation is often recognized too late and not adequately treated (too little is done too late); therefore, it is important to be aware of the most important risk factors for PPH known as the 4 Ts (i.e. tonus, trauma, tissue and thrombin). Due to the special patient population there is only little evidence-based data on hemostatic therapy in this situation; therefore, the currently available studies on the therapy of PPH is discussed.
authors.affiliation: Universitätsklinik für Anästhesiologie und Schmerztherapie, Universitätsspital Bern, Freiburgstrasse, 3010, Bern, Schweiz. juergen.knapp@insel.ch.
authors.forename: J
authors.initials: J
authors.lastname: Knapp
authors.affiliation: Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Hofer
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Köln, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Lier
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D007231:Infant, Newborn; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D011247:Pregnancy
keywords: Hemorrhage; Hemostatic Techniques; Oxytocin; Thrombelastography; Uterine atony