Critical Care for the Obstetrician and Gynecologist: Obstetric Hemorrhage and Disseminated Intravascular Coagulopathy.
Obstetric hemorrhage accounts for 5% all deliveries in the United States and accounts for high maternal morbidity and mortality. Many hemorrhages are secondary to uterine atony and are quickly ameliorated with appropriate uterotonic use. However, for a subset of cases, severe hemorrhage may require advanced resuscitative techniques, and innovative procedural and surgical techniques. This article guides a provider through such a resuscitation.
Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 228, Baltimore, MD 21287, USA. Electronic address: Avaught2@jhmi.edu.
Arthur Jason
AJ
Vaught
D001803:Blood Transfusion / Q000379:methods*; D019468:Disease Management; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D012771:Shock, Hemorrhagic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
Disseminated intravascular coagulopathy; Hemorrhagic shock; Massive transfusion protocol; Special populations of hemorrhage; Transexamic acid