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Title

Prise en charge multidisciplinaire des hémorragies du post-partum: nouvelles stratégies
Authors
Bischofberger, Armide
Savoldelli, Georges Louis
Irion, Olivier
Published in Revue médicale suisse. 2011, vol. 7, no. 281, p. 334-9
Abstract 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.
Keywords 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
Identifiers
PMID: 21416711
Full text
Article (Published version) (564 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://rms.medhyg.ch/
Structures
Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie et soins intensifs
Faculté de médecine / Section de médecine clinique / Département de gynécologie et d'obstétrique
Research groups Groupe Irion Olivier/Boulvain Michel (gynécologie et obstétrique) (272)
Groupe Salvodelli Georges (simulation) (878)
Citation
(ISO format) 		BISCHOFBERGER, Armide, SAVOLDELLI, Georges Louis, IRION, Olivier. Prise en charge multidisciplinaire des hémorragies du post-partum: nouvelles stratégies. In: Revue médicale suisse, 2011, vol. 7, n° 281, p. 334-9. https://archive-ouverte.unige.ch/unige:25417

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Deposited on : 2013-01-11

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