Obstetrical hemorrhage is the leading cause of maternal mortality
worldwide. Management of obstetrical hemorrhage involves medical knowledge and
surgical skill. Uterotonics for the prevention and treatment of uterine atony remain
the cornerstone of medical management. The rising rate of placenta accreta
emphasizes the importance of definitive surgical management. Proficiency of uterinesparing
techniques for the management of uterine atony or placenta accreta allow
alternative options for those who wish to preserve fertility. New concepts in the
management of severe obstetrical hemorrhage have changed how we care for this
unique emergent condition. The use of massive transfusion protocols in conjunction
with products such as tranexamic acid, fibrinogen concentrates and prothrombin
complex concentrates are emerging techniques to reduce morbidity and mortality.
Keywords: Hemostatic resuscitation, post partum hemorrhage, pregnancy.
Rights & PermissionsPrintExport