When you have studied this session, you should be able to:
- Define and use correctly all of the key words printed in bold.
- Describe methods of prevention of obstetric hemorrhage
- Identify signs of impending maternal collapse with a normal blood pressure
- Describe sign of life-threatening hypovolaemia.
- Discuss the steps in initial resuscitation and stabilization of obstetric hemorrhage
- Describe the 4Ts: Directed therapy and definitive treatment ofobstetric hemorrhage
- Identify drugs used in obstetric hemorrhage
- Describe the techniques of blood transfusion for obstetric hemorrhage
- List specialist techniques used in the management of obstetric hemorrhage
- Describe anaesthesia techniques used in obstetric hemorrhage
- Major Heamorrhage is defined as a single blood loss of > 1500 ml, continuing blood loss of 150 ml/hr or a transfusion requirement of 4 units of red cells.
- The early team approach to managing major hemorrhage will improve the outcome for the mother
- Early resuscitation is essential
- Early diagnosis of the cause of major haemorrhage will focus therapy and can be easily remembered by thinking of the 4Ts
- Specialist techniques of balloon tamponade or B-Lynch suture are effective in persistent uterine atony
- Coagulation failure occurs early in obstetric haemorrhage and should be corrected if possible
- After care of the mother with regular monitoring of heart rate, blood pressure, urine output will improve outcome.
Last modified: Thursday, 17 November 2016, 4:45 PM