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REVIEW ARTICLE
Year : 2018  |  Volume : 62  |  Issue : 9  |  Page : 698-703

Management of major obstetric haemorrhage


Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Science, New Delhi, India

Correspondence Address:
Prof. Anjan Trikha
Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Science, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_448_18

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One of the most important causes of maternal mortality is major obstetric haemorrhage. Major haemorrhage can occur in parturients either during the antepartum period, during delivery, or in the postpartum period. Early recognition and a multidisciplinary team approach in the management are the cornerstones of improving the outcome of such cases. The management consists of fluid resuscitation, administration of blood and blood products, conservative measures such as uterine cavity tamponade and sutures, and finally hysterectomy. Blood transfusion strategies have changed over the last decade with emphasis on use of fresh frozen plasma, platelets, and fibrinogen. Point-of-care testing for treating coagulopathies promptly and interventional radiological procedures have further revolutionized the management of such cases.


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