Prise en charge multidisciplinaire des hémorragies du post-partum: nouvelles stratégies

Article Article professionnel Article Prise en charge multidisciplinaire des hémorragies du post-partum: nouvelles stratégies fre 2011 author Bischofberger Armide 722782 author Savoldelli Georges Louis 0000-0002-8968-6920 41344 author Irion Olivier 125635 334-339 21416711 1660-9379 http://rms.medhyg.ch/ Post-partum hemorrhage (PPH) is a dramatic obstetrical complication, responsible for one maternal death every 4 minutes in the world. Clinical management requires prevention, coordination and multidisciplinary care. Whatever the etiology, it is based on a stepwise approach. Prevention begins with active management of the delivery. In case of PPH, uterine and genital revision is essential. Once placental or traumatic etiologies have been excluded, uterotonics and hemostatic obstetrical maneuvers must be initiated. Resuscitation efforts, transfusion and hemostatic strategies must be continuous and adapted. In case of failure, selective embolization of pelvic arteries can sometimes avoid surgery. Exploratory laparotomy with haemostatic sutures is another option, followed if necessary, by a hysterectomy. Algorithms Delivery, Obstetric/adverse effects Embolization, Therapeutic Female Humans Hysterectomy/adverse effects Interdisciplinary Communication Patient Care Team Postpartum Hemorrhage/etiology/mortality/prevention & control/therapy Pregnancy Risk Factors Treatment Outcome Dewey 617 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 538 Groupe Salvodelli Georges (simulation) 878 213 Martinez De Tejada Begona 272 Revue médicale suisse 7 281 4fd3ec3d-322f-4238-8da3-0c4c8dd12df7 Article (Published version) Restricted Prise en charge multidisciplinaire des hémorragies du post-partum nouvelles stratégies.pdf 577278 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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Prise en charge multidisciplinaire des hémorragies du post-partum: nouvelles stratégies	Revue médicale suisse			2011	664	2

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Bischofberger, Armide