Postpartum hemorrhage: new insights for definition and diagnosis

Postpartum hemorrhage: new insights for definition and diagnosis

The current definition of is inadequate for early recognition of this important cause of maternal death that is responsible for >80,000 deaths worldwide in 2015. A stronger definition of postpartum hemorrhage should include both blood loss and clinical signs of cardiovascular changes after delive...

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Veröffentlicht in:American journal of obstetrics and gynecology 2018-08, Vol.219 (2), p.162-168
Hauptverfasser: Borovac-Pinheiro, A., Pacagnella, R.C., Cecatti, J.G., Miller, S., El Ayadi, A.M., Souza, J.P., Durocher, J., Blumenthal, P.D., Winikoff, B.
Format: Artikel
Sprache:eng
Schlagworte:
clinical sign
definition
postpartum hemorrhage
shock index
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Zusammenfassung:The current definition of is inadequate for early recognition of this important cause of maternal death that is responsible for >80,000 deaths worldwide in 2015. A stronger definition of postpartum hemorrhage should include both blood loss and clinical signs of cardiovascular changes after delivery, which would help providers to identify postpartum hemorrhage more promptly and accurately. Along with the amount of blood loss, clinical signs, and specifically the shock index (heart rate divided by systolic blood pressure) appear to aid in more accurate diagnosis of postpartum hemorrhage.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2018.04.013