Anesthesia and Major Obstetric Hemorrhage
Obstetric hemorrhage is a major cause of maternal morbidity and accounts for the majority of maternal deaths worldwide. Maternal hemorrhage can occur antepartum or postpartum. The incidence of maternal hemorrhage has increased in the United States and other industrialized nations and has been attributed to the increased rates of uterine atony and the rising rates of cesarean sections. Postpartum hemorrhage (PPH) is the leading cause of intensive care unit (ICU) admission following delivery. Many of the maternal deaths due to hemorrhage have been determined to be preventable. Development of protocols and a team approach for early recognition, prevention of bleeding, preparation, and timely treatment of major obstetric hemorrhage are good strategies to reduce morbidity and mortality.
KeywordsMaternal hemorrhage Maternal mortality Antepartum hemorrhage Postpartum hemorrhage Abnormal placentation Uterine atony
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