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Postpartum HemorrhageUterine InertiaOxytocicsLabor Stage, ThirdMisoprostolPlacenta, RetainedHemorrhageCerebral HemorrhageDelivery, ObstetricMaternal MortalityUterine Balloon TamponadeHome ChildbirthPregnancySubarachnoid HemorrhageObstetric Labor ComplicationsEpisiotomyMethylergonovineMidwiferyErgonovineAdministration, SublingualOxytocinPlacenta PreviaIntracranial HemorrhagesCesarean SectionLabor Stage, SecondPlacenta AccretaHospitals, MaternityUterine Artery EmbolizationPregnancy ComplicationsRetinal HemorrhageMedicine, Tibetan TraditionalEmpty Sella SyndromeObstetricsUterine ArteryLabor, ObstetricEndotamponadeParturitionEclampsiaLabor, InducedUterusBalloon OcclusionPregnancy OutcomeGastrointestinal HemorrhageHypopituitarismSuturesVitreous HemorrhageBlood TransfusionMaternal Health ServicesEye HemorrhagePerineumPakistanFranceHysterectomyBritish ColumbiaPostpartum PeriodEmbolization, TherapeuticRisk FactorsRetrospective StudiesUmbilical CordTreatment OutcomeMorbidity
Postpartum Hemorrhage: Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).Uterine Inertia: Failure of the UTERUS to contract with normal strength, duration, and intervals during childbirth (LABOR, OBSTETRIC). It is also called uterine atony.Oxytocics: Drugs that stimulate contraction of the myometrium. They are used to induce LABOR, OBSTETRIC at term, to prevent or control postpartum or postabortion hemorrhage, and to assess fetal status in high risk pregnancies. They may also be used alone or with other drugs to induce abortions (ABORTIFACIENTS). Oxytocics used clinically include the neurohypophyseal hormone OXYTOCIN and certain prostaglandins and ergot alkaloids. (From AMA Drug Evaluations, 1994, p1157)Labor Stage, Third: The final period of OBSTETRIC LABOR that is from the expulsion of the FETUS to the expulsion of the PLACENTA.Misoprostol: A synthetic analog of natural prostaglandin E1. It produces a dose-related inhibition of gastric acid and pepsin secretion, and enhances mucosal resistance to injury. It is an effective anti-ulcer agent and also has oxytocic properties.Placenta, Retained: A placenta that fails to be expelled after BIRTH of the FETUS. A PLACENTA is retained when the UTERUS fails to contract after the delivery of its content, or when the placenta is abnormally attached to the MYOMETRIUM.Hemorrhage: Bleeding or escape of blood from a vessel.Cerebral Hemorrhage: Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.Delivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Maternal Mortality: Maternal deaths resulting from complications of pregnancy and childbirth in a given population.Uterine Balloon Tamponade: Inflation of a balloon CATHETER within the uterine cavity to control UTERINE HEMORRHAGE.Home Childbirth: Childbirth taking place in the home.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Subarachnoid Hemorrhage: Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.Obstetric Labor Complications: Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.Episiotomy: An incision of the posterior vaginal wall and a portion of the pudenda which enlarges the vaginal introitus to facilitate delivery and prevent lacerations.Methylergonovine: A homolog of ERGONOVINE containing one more CH2 group. (Merck Index, 11th ed)Midwifery: The practice of assisting women in childbirth.Ergonovine: An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.Administration, Sublingual: Administration of a soluble dosage form by placement under the tongue.Oxytocin: A nonapeptide hormone released from the neurohypophysis (PITUITARY GLAND, POSTERIOR). It differs from VASOPRESSIN by two amino acids at residues 3 and 8. Oxytocin acts on SMOOTH MUSCLE CELLS, such as causing UTERINE CONTRACTIONS and MILK EJECTION.Placenta Previa: Abnormal placentation in which the PLACENTA implants in the lower segment of the UTERUS (the zone of dilation) and may cover part or all of the opening of the CERVIX. It is often associated with serious antepartum bleeding and PREMATURE LABOR.Intracranial Hemorrhages: Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.Cesarean Section: Extraction of the FETUS by means of abdominal HYSTEROTOMY.Labor Stage, Second: The period of OBSTETRIC LABOR that is from the complete dilatation of the CERVIX UTERI to the expulsion of the FETUS.Placenta Accreta: Abnormal placentation in which all or parts of the PLACENTA are attached directly to the MYOMETRIUM due to a complete or partial absence of DECIDUA. It is associated with POSTPARTUM HEMORRHAGE because of the failure of placental separation.Hospitals, Maternity: Special hospitals which provide care to women during pregnancy and parturition.Uterine Artery Embolization: The use of embolizing agents to block the arterial blood supply to parts or all of the UTERUS. The procedures are done to control bleeding or to cause destruction of uterine tissues.Pregnancy Complications: Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.Retinal Hemorrhage: Bleeding from the vessels of the retina.Medicine, Tibetan Traditional: A system of traditional medicine which is based on the beliefs and practices of the Tibetan culture.Empty Sella Syndrome: A condition when the SELLA TURCICA is not filled with pituitary tissue. The pituitary gland is either compressed, atrophied, or removed. There are two types: (1) primary empty sella is due a defect in the sella diaphragm leading to arachnoid herniation into the sellar space; (2) secondary empty sella is associated with the removal or treatment of PITUITARY NEOPLASMS.Obstetrics: A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.Uterine Artery: A branch arising from the internal iliac artery in females, that supplies blood to the uterus.Labor, Obstetric: The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).Endotamponade: A method of stopping internal bleeding or blood flow, or the closure of a wound or body cavity, achieved by applying pressure or introducing an absorbent liquid, gel, or tampon.Parturition: The process of giving birth to one or more offspring.Eclampsia: Onset of HYPERREFLEXIA; SEIZURES; or COMA in a previously diagnosed pre-eclamptic patient (PRE-ECLAMPSIA).Labor, Induced: Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.Uterus: The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.Balloon Occlusion: Use of a balloon CATHETER to block the flow of blood through an artery or vein.Pregnancy Outcome: Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.Gastrointestinal Hemorrhage: Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.Hypopituitarism: Diminution or cessation of secretion of one or more hormones from the anterior pituitary gland (including LH; FOLLICLE STIMULATING HORMONE; SOMATOTROPIN; and CORTICOTROPIN). This may result from surgical or radiation ablation, non-secretory PITUITARY NEOPLASMS, metastatic tumors, infarction, PITUITARY APOPLEXY, infiltrative or granulomatous processes, and other conditions.Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Vitreous Hemorrhage: Hemorrhage into the VITREOUS BODY.Blood Transfusion: The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Eye Hemorrhage: Intraocular hemorrhage from the vessels of various tissues of the eye.Perineum: The body region lying between the genital area and the ANUS on the surface of the trunk, and to the shallow compartment lying deep to this area that is inferior to the PELVIC DIAPHRAGM. The surface area is between the VULVA and the anus in the female, and between the SCROTUM and the anus in the male.PakistanFrance: A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris.Hysterectomy: Excision of the uterus.British Columbia: A province of Canada on the Pacific coast. Its capital is Victoria. The name given in 1858 derives from the Columbia River which was named by the American captain Robert Gray for his ship Columbia which in turn was named for Columbus. (From Webster's New Geographical Dictionary, 1988, p178 & Room, Brewer's Dictionary of Names, 1992, p81-2)Postpartum Period: In females, the period that is shortly after giving birth (PARTURITION).Embolization, Therapeutic: A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Umbilical Cord: The flexible rope-like structure that connects a developing FETUS to the PLACENTA in mammals. The cord contains blood vessels which carry oxygen and nutrients from the mother to the fetus and waste products away from the fetus.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Morbidity: The proportion of patients with a particular disease during a given year per given unit of population.

A strategy for reducing maternal mortality. (1/254)

A confidential system of enquiry into maternal mortality was introduced in Malaysia in 1991. The methods used and the findings obtained up to 1994 are reported below and an outline is given of the resulting recommendations and actions.  (+info)

The presentation and management of post-partum choriocarcinoma. (2/254)

Post-partum choriocarcinoma is a rare complication of pregnancy. We have analysed a series of nine consecutive patients presenting with choriocarcinoma after a full-term non-molar pregnancy. All patients were managed at the Supraregional Trophoblastic Disease Screening and Treatment Centre at Weston Park Hospital, Sheffield between 1987 and 1996. All presented with persistent primary or secondary post-partum haemorrhage. Treatment with multiagent chemotherapy (initially methotrexate, dactinomycin and etoposide) was successful in all cases. Early diagnosis is important because this rare condition is potentially curable with appropriate chemotherapy.  (+info)

Simultaneous occurrence of multiple neoplasms and hyperplasias in the adrenal and thyroid gland of the horse resembling multiple endocrine neoplasia syndrome: case report and retrospective identification of additional cases. (3/254)

Neoplastic and hyperplastic disorders that affect multiple endocrine tissues in a single individual are well described in humans but less so in domestic animals. Multiple endocrine neoplasia (MEN) in humans is a genetically determined syndrome characterized by the appearance of benign or malignant proliferations within two or more endocrine glands. The primary endocrine tumors that are characteristic of MEN arise from cells that share the capacity for amine precursor uptake and decarboxylation. Here we describe the case of a 22-year-old Thoroughbred mare that died during an unattended parturition and subsequently was presented for necropsy at the University of California, Davis, Veterinary Medical Teaching Hospital. A C-cell (medullary) thyroid adenoma, pheochromocytoma, and multicentric bilateral nodular hyperplasia of the adrenal medulla were present, findings that are remarkably similar to those of human MEN syndrome. Mortality during pregnancy in women with undiagnosed pheochromocytoma is high (approximately 50%), typically because of hypertension and/or hemorrhage associated with catecholamine release from the tumor. Similarly, the mare in this report died of hemorrhage subsequent to parturition. A retrospective evaluation of endocrine tumors in horses that underwent necropsy at the Veterinary Medical Teaching Hospital from 1987 to 1997 was undertaken to identify additional possible cases of MEN in horses. Data from this retrospective evaluation suggest that coexistence of hyperplasias and neoplasias of the thyroid and adrenal glands, similar to MEN syndrome of humans, also occurs with some frequency in the horse.  (+info)

Complicated third stage of labor: time to switch on the scanner. (4/254)

This Editorial chronicles the current experience in ultrasound usage during pathologic events occurring in the third stage of labor. Further improvement in the technology for carrying out clinical research will improve our knowledge so that more information can be gleaned from this modality to bestow optimal management for such potentially dangerous conditions. Awareness of the capabilities of sonography may provide the motivation for its use, and obstetricians are encouraged to scan the third stage of normal deliveries for better recognition of normal findings and improved assessment of abnormal ones. Although final decisions should be based mainly upon sound clinical judgement, we contend that complicated third stage of labor warrants turning on the scanner.  (+info)

Fetal complications of obstetric cholestasis. (5/254)

Among 56 pregnancies complicated by obstetric cholestasis five intrauterine deaths and one neonatal death occurred between 33 and 39 weeks, and a further six infants required urgent delivery for intrapartum asphyxia. Eighteen spontaneous premature deliveries occurred. Five mothers required specific treatment for unexplained postpartum haemorrhage. Cholestasis of pregnancy is therefore not a condition benign to the fetus, and it may contribute to increased maternal morbidity.  (+info)

The influence of drugs on the kinin-forming system in relation to pregnancy and parturition in the rat. (6/254)

The duration of normal gestation and parturition in the rat can be changed by treatment with drugs which alter the equilibrium of the kallikrein-kinin system. The kallikrein inhibitor, aprotinin, when given from Days 19-22 of pregnancy prolongs gestation. Treatment with aprotinin from Days 20-22 of pregnancy prolongs the parturient process, as does a single dose given on the morning of Day 22. Kallikrein, when administered from Days 19-22 of pregnancy, results in a prolongation of gestation and abolishes the pre-parturient behaviour ('labour'). Parturition is prolonged and many fetuses are stillborn. Soya bean trypsin inhibitor when given from Days 19-22 of pregnancy delays and prolongs parturition; maternal haemorrhage occurs during birth and many fetuses are born dead or are abandoned at birth. It is suggested that the kallikrein-kinin system plays a functional role in the normal process of parturition in the rat.  (+info)

Use of methergine for the prevention of postoperative endometritis in non-elective cesarean section patients. (7/254)

OBJECTIVE: Methergine increases constriction of uterine musculature which may facilitate sloughing of endometrial debris, close uterine vessels, and prevent post-cesarean endometritis. The objective of this study was to evaluate the efficacy of methergine in preventing endometritis in patients undergoing non-elective cesarean section delivery. METHODS: Eighty patients undergoing non-elective cesarean section were enrolled in a prospective randomized clinical trial of methergine (41) versus no methergine (39) administration during the postpartum period. The hospital records were abstracted after discharge to compare the postpartum course. RESULTS: There were no significant demographic differences between the two groups. The women receiving methergine had a significant reduction in the rate of postoperative endometritis (10% vs. 36%, P < 0.005). In addition, the mean postoperative hemoglobin was significantly higher in the methergine treated group (P < 0.001). CONCLUSIONS: The use of methergine postpartum in women undergoing non-elective cesarean sections significantly reduces the incidence of postoperative endometritis and blood loss.  (+info)

A multicentre randomized controlled trial of oral misoprostol and i.m. syntometrine in the management of the third stage of labour. (8/254)

Postpartum haemorrhage accounts for nearly 28% of maternal mortality in developing countries. Syntometrine is an effective and commonly used oxytocic in preventing postpartum haemorrhage, but it requires a controlled storage environment and i.m. administration. Misoprostol is an orally active uterotonic agent. A total of 2058 patients having a singleton pregnancy, low risk for postpartum haemorrhage and vaginal delivery were randomized to receive either 1 ml syntometrine or 600 microgram misoprostol for the management of the third stage of labour. There were no significant differences between the two groups in the mean blood loss, the incidence of postpartum haemorrhage and the fall in haemoglobin concentration. The need for additional oxytocic injection was significantly higher in the misoprostol group [relative risk (RR) 1.62, 95% confidence interval (CI) 1.34-1.96], but that of manual removal of placenta was reduced (RR 0.29, 95% CI 0.09-0.87). Shivering and transient pyrexia were more common in the misoprostol group. Oral misoprostol might be used in the management of the third stage, especially in situations where the use of syntometrine is contraindicated and facilities for storage and parenteral administration of oxytocics are limited.  (+info)

Post Partum Hemorrhage diagnosis - Bangladesh ResultPost Partum Hemorrhage diagnosis - Bangladesh Result
All posts related with Post Partum Hemorrhage diagnosis of Bangladesh Result are listed here. Post Partum Hemorrhage diagnosis last updated on December 2017.
Postpartum Hemorrhage (PPH) Treatment Devices Market Research Report Now Available at Research Corridor | PrismcoalitionPostpartum Hemorrhage (PPH) Treatment Devices Market Research Report Now Available at Research Corridor | Prismcoalition
Research Corridor has published a new research study titled "Postpartum Hemorrhage (PPH) Treatment Devices Market - Growth, Share, Opportunities, Competitive Analysis and Forecast, 2015 - 2022". The Postpartum Hemorrhage (PPH) Treatment Devices Market report studies current as well as future aspects of the Postpartum Hemorrhage (PPH) Treatment Devices Market based upon factors such as market dynamics, key ongoing trends and segmentation analysis. Apart from the above elements, the Postpartum Hemorrhage (PPH) Treatment Devices Market research report provides a 360-degree view of the Postpartum Hemorrhage (PPH) Treatment Devices industry with geographic segmentation, statistical forecast and the competitive landscape.. Browse the complete report at http://www.researchcorridor.com/postpartum-hemorrhage-pph-treatment-devices-market/. Geographically, the Postpartum Hemorrhage (PPH) Treatment Devices Market report comprises dedicated sections centering on the regional market revenue and trends. The ...
postpartum hemorrhage complications - Postpartum Haemorrhage Discussion Forum - Issues after Delivery Message Boardspostpartum hemorrhage complications - Postpartum Haemorrhage Discussion Forum - Issues after Delivery Message Boards
What complications can arise due to postpartum hemorrhage? Why are some women more at risk to postpartum hemorrhage? Sudhir replied. large amount of blood loss due to postpartum hemorrhage can cause anemia, shock due to low blood pressure and increased heart rate and in severe cases leads to death. postpartum hemorrhage can happen when there is a difficult birth and many a times the exact cause is not known Ritesh replied. PPH is a serious issue. If not checked it can lead to a lot of blood loss, shock and even death due to blood loss. Septicemia may also occur due to PPH. Replacing lost blood and fluids is important in treating postpartum hemorrhage ...
Measurement of blood loss during postpartum haemorrhage -ORCAMeasurement of blood loss during postpartum haemorrhage -ORCA
Background We set out to validate the accuracy of gravimetric quantification of blood loss during simulated major postpartum haemorrhage and to evaluate the technique in a consecutive cohort of women experiencing major postpartum haemorrhage. The study took part in a large UK delivery suite over a one-year period. All women who experienced major postpartum haemorrhage were eligible for inclusion. Methods For the validation exercise, in a simulated postpartum haemorrhage scenario using known volumes of artificial blood, the accuracy of gravimetric measurement was compared with visual estimation made by delivery suite staff. In the clinical observation study, the blood volume lost during postpartum haemorrhage was measured gravimetrically according to our routine institutional protocol and was correlated with fall in haemoglobin. The main outcome measure was the accuracy of gravimetric measurement of blood loss. Results Validation exercise: the mean percentage error of gravimetrically measured ...
Increased frequency of postpartum haemorrhages, possible association with serotonergic and other psychopharmacological drugs: a...Increased frequency of postpartum haemorrhages, possible association with serotonergic and other psychopharmacological drugs: a...
References 1. Briley A, Seed PT, Tydeman G, Ballard H, Waterstone M, Sandall J, Poston L, Tribe RM, Bewleya S. 2014. Reporting errors, incidence and risk factors for postpartum haemorrhage and progression to severe PPH: a prospective observational study. BJOG. 121:876-88. https://doi.org/10.1111/1471-0528.12588; PMid:24517180 PMCid:PMC4282054 2. Knight M, Callaghan WM, Berg C, Alexander S, Bouvier-Colle M-H, Ford JB, Joseph K, Lewis G, Liston RM, Roberts CL et al. 2009. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth. 9:55-65. https://doi.org/10.1186/1471-2393-9-55; PMid:19943928 PMCid:PMC2790440 3. Smit M, Chan K, Middeldorp J, van Roosmalen J. 2014. Postpartum haemorrhage in midwifery care in the Netherlands: validation of quality indicators for midwifery guidelines. BMC Pregnancy Childbirth 14:397-402. https://doi.org/10.1186/s12884-014-0397-8; PMid:25481692 ...
Trends in adverse maternal outcomes during childbirth: a population-based study of severe maternal morbidity | BMC Pregnancy...Trends in adverse maternal outcomes during childbirth: a population-based study of severe maternal morbidity | BMC Pregnancy...
Maternal mortality is too rare in high income countries to be used as a marker of the quality of maternity care. Consequently severe maternal morbidity has been suggested as a better indicator. Using the maternal morbidity outcome indicator (MMOI) developed and validated for use in routinely collected population health data, we aimed to determine trends in severe adverse maternal outcomes during the birth admission and in particular to examine the contribution of postpartum haemorrhage (PPH). We applied the MMOI to the linked birth-hospital discharge records for all women who gave birth in New South Wales, Australia from 1999 to 2004 and determined rates of severe adverse maternal outcomes. We used frequency distributions and contingency table analyses to examine the association between adverse outcomes and maternal, pregnancy and birth characteristics, among all women and among only those with PPH. Using logistic regression, we modelled the effects of these characteristics on adverse maternal outcomes.
Prevention of Postpartum Haemorrhage With Sublingual Misoprostol or Oxytocin - Full Text View - ClinicalTrials.govPrevention of Postpartum Haemorrhage With Sublingual Misoprostol or Oxytocin - Full Text View - ClinicalTrials.gov
Sublingual misoprostol produces rapid peak concentration and is more effective than oral misoprostol for prevention of excessive postpartum bleeding. The study hypothesis was to test whether women receiving sublingual misoprostol for prevention of postpartum hemorrhage have 30 ml less average blood loss than women receiving oxytocin, the standard of care for prevention of postpartum hemorrhage. We conducted a Double blind randomized controlled trial of .652 consenting, eligible pregnant women admitted to the labor room of the teaching hospital at J N Medical College, Belgaum, India. Women participating in the study were assigned by computer generated randomization to receive the study medications and placebos within one minute after clamping and cutting the umbilical cord. We also looked at the drugs effects on postpartum blood loss at or above ≥500 ml (considered hemorrhage), and the percent of women experiencing more than a 10% decline in haemoglobin, and reported drug side effects ...
PL.06 Treatment for Primary Postpartum Haemorrhage - A Cochrane Systematic Review | ADC Fetal & Neonatal EditionPL.06 Treatment for Primary Postpartum Haemorrhage - A Cochrane Systematic Review | ADC Fetal & Neonatal Edition
Results Twelve randomised clinical trials (RCT) with a total of 4060 participants fulfilled our inclusion criteria and were included in this review. Four RCTs (1483 participants) compared misoprostol with placebo given in addition to conventional uterotonics. Adjunct use of misoprostol to additional uterotonics had no impact on our primary outcomes including maternal mortality (risk ratio (RR) 6.16; 95% confidence interval (CI) 0.75 to 50.85), serious maternal morbidity (RR 0.34; 95% CI 0.01 to 8.31); admission to intensive care (RR 0.79; 95% CI 0.30 to 2.11), or hysterectomy (RR 0.93; 95% CI 0.16 to 5.41).. Two RCTs (1851 participants) compared 800 mcg sublingual misoprostol to oxytocin infusion as primary PPH treatment. Primary outcomes did not differ between the two groups. Five trials examined the effectiveness of oestrogen, tranexamic acid, lower segment compression and aortic compression devices, but were too small to assess impact on primary outcomes. ...
Call the Midwife…. - EDEducateCall the Midwife…. - EDEducate
Background. Thankfully primary postpartum haemorrhage (PPH) is a rare presentation to the Emergency Department. However, it is the most common form of major obstetric haemorrage, and obstetric haemorrhage is the second leading cause of maternal death in the UK and Ireland. [1] When these patients do present with significant bleeding it can be pretty scary because although we know it is a time critical, high stakes presentation, we often dont feel very prepared or very knowledgeable in dealing with them down in the ED.. Assessment (and management). Primary postpartum haemorrhage is bleeding which occurs within the first 24 hours of giving birth. It is defined as minor if there is 500 -1000ml blood loss with no clinical sign of shock, and major if ,1000mls of blood has been lost, or if there are signs of shock. [1] Quantifying how much blood has been lost is really difficult, and as such frequently inaccurate, so often we have to be guided more by clinical signs. However, it is also worth knowing ...
Postpartum hemorrhage | Article about postpartum hemorrhage by The Free DictionaryPostpartum hemorrhage | Article about postpartum hemorrhage by The Free Dictionary
Looking for postpartum hemorrhage? Find out information about postpartum hemorrhage. escape of blood from the circulation to the internal or external tissues. The term is usually applied to a loss of blood that is copious enough to threaten... Explanation of postpartum hemorrhage
Association between fluid management and dilutional coagulopathy in severe postpartum haemorrhage: a nationwide retrospective...Association between fluid management and dilutional coagulopathy in severe postpartum haemorrhage: a nationwide retrospective...
TY - JOUR. T1 - Association between fluid management and dilutional coagulopathy in severe postpartum haemorrhage. T2 - a nationwide retrospective cohort study. AU - Gillissen, Ada. AU - van den Akker, Thomas. AU - Caram-Deelder, Camila. AU - Henriquez, Dacia D. C. A.. AU - Bloemenkamp, Kitty W. M.. AU - van Roosmalen, Jos J. M.. AU - Eikenboom, Jeroen. AU - van der Bom, Johanna G.. AU - Henskens, Yvonne. AU - Scheepers, Liesbeth. AU - TeMpOH-1 study Grp. PY - 2018/10/11. Y1 - 2018/10/11. KW - Coagulation parameters. KW - Dilutional coagulopathy. KW - Fluid management. KW - Postpartum haemorrhage. KW - COLLOID PLASMA EXPANDERS. KW - OBSTETRIC HEMORRHAGE. KW - RESUSCITATION. KW - HEMODILUTION. KW - COAGULATION. U2 - 10.1186/s12884-018-2021-9. DO - 10.1186/s12884-018-2021-9. M3 - Article. C2 - 30305108. VL - 18. JO - BMC Pregnancy and Childbirth. JF - BMC Pregnancy and Childbirth. SN - 1471-2393. M1 - 398. ER - ...
Case: Recognizing Secondary Postpartum HemorrhageCase: Recognizing Secondary Postpartum Hemorrhage
Experienced labor and delivery nurse Lynn Hill outlines a case in which a patient came very close to dying due to an occult bleed and secondary postpartum hemorrhage. Read this patients story for perspective on recognizing secondary PPH.
Uterovaginal Packing as Treatment in Primary Postpartum Hemorrhage in Patan Hospital | Nepal Journal of Obstetrics and...Uterovaginal Packing as Treatment in Primary Postpartum Hemorrhage in Patan Hospital | Nepal Journal of Obstetrics and...
Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s).. The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher.. Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/). This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.. ...
Intrarectal Misoprostol in Postpartum Haemorrhage - Full Text View - ClinicalTrials.govIntrarectal Misoprostol in Postpartum Haemorrhage - Full Text View - ClinicalTrials.gov
Postpartum haemorrhage (PPH) remains the major cause of maternal mortality in France. The most efficient treatment of severe PPH is sulprostone which is associated with cardiac complications. The objective of this study was to assess the efficacy and the safety of intrarectal misoprostol for curative postpartum haemorrhage treatment.. We conducted a multicenter double blind randomized placebo control trial between June 2004 and December 2007, among consenting women with postpartum haemorrhage and failure to oxytocin treatment.. Our main criteria of judgement was quantification of blood loss and the use of sulprostone between the two groups using either misoprostol intrarectal tablets (5X200mg ) or placebo in similar opaque introducer. ...
NewYork-Presbyterian Queens - High-Risk Pregnancy - Postpartum HemorrhageNewYork-Presbyterian Queens - High-Risk Pregnancy - Postpartum Hemorrhage
Once a baby is delivered, the uterus normally continues to contract (tightening of uterine muscles) and expels the placenta. After the placenta is delivered, these contractions help compress the bleeding vessels in the area where the placenta was attached. If the uterus does not contract strongly enough, called uterine atony, these blood vessels bleed freely and hemorrhage occurs. This is the most common cause of postpartum hemorrhage. If small pieces of the placenta remain attached, bleeding is also likely. It is estimated that as much as 600 ml (more than half a quart) of blood flows through the placenta each minute in a full-term pregnancy.. Some women are at greater risk for postpartum hemorrhage than others. Conditions that may increase the risk for postpartum hemorrhage include the following:. ...
How can Maternal Mortality from Postpartum Haemorrhage in the Developing World be most effectively reduced - Do My HomeworkHow can Maternal Mortality from Postpartum Haemorrhage in the Developing World be most effectively reduced - Do My Homework
Decreasing the rates of maternal mortality has been set as one of the priorities of the United National Millennium Development Goals (MDGs). For MDG5, goals relating to the decrease of maternal mortality by three quarters from 1990 to 2015 have been set, and since 1990, rates of maternal deaths have been decreased by 47%. Women in developing countries also have a higher rate of pregnancy as compared to women in developed countries. As such, their risk of pregnancy-related death is higher. Maternal deaths are attributed to different factors including severe bleeding (postpartum haemorrhage), infections, high blood pressure at pregnancy, and unsafe abortion. This study will focus on postpartum haemorrhage. The WHO (2013) declares that severe postpartum bleeding can kill a delivering mother within two hours from delivery if interventions are not implemented immediately and the bleeding is not stopped. Moderate postpartum haemorrhage is defined as blood loss more than or equivalent to 500 ...
ACOG urges standardization of postpartum hemorrhage treatment - PM360ACOG urges standardization of postpartum hemorrhage treatment - PM360
FROM OBSTETRICS & GYNECOLOGY. Ob.gyns. and hospitals should have an organized and systematic treatment plan for postpartum hemorrhage, according to an updated practice bulletin from the American College of Obstetricians and Gynecologists (ACOG).. ACOG is recommending that obstetric care facilities post guidelines regarding the diagnosis methods and management techniques of postpartum hemorrhage. If postpartum hemorrhage is suspected, a physical exam should be performed to quickly inspect the uterus, cervix, vulva, and perineum to identify the source of bleeding. Once the cause has been identified, a treatment plan specific to the etiology of the bleeding can be implemented (Obstet Gynecol. 2017;130:e168-86). "Less invasive methods should always be used first," Aaron Caughey, MD, PhD, one of the coauthors of the practice bulletin, said in a statement. "If those methods fail, then more aggressive interventions must be considered to preserve the life of the mother.". The ACOG reVITALize program ...
villagemidwife: Preventing and treating post partum haemorrhagevillagemidwife: Preventing and treating post partum haemorrhage
I recently heard interesting statistics about blood loss and active management where a hospital was audited and it was found that there was a higher incidence of PPH with active management than physiological management. Unfortunately I cant remember where I heard this...I think it was the NZ College of Midwives Conference in Auckland this year. I realise this isnt backed up by the majority of the research. I do wonder if we are doing more harm than good interfering as we do but as you say, there are lots of factors and the mere fact of the excitement around the birth and everyone in the room trying to get their hands on the baby distracts and interferes in the natural process ...
Effect on postpartum hemorrhage of prophylactic oxytocin (10 IU) by injection by community health officers in Ghana: A...Effect on postpartum hemorrhage of prophylactic oxytocin (10 IU) by injection by community health officers in Ghana: A...
Effect on postpartum hemorrhage of prophylactic oxytocin (10 IU) by injection by community health officers in Ghana: A community-based, cluster-randomized trial
Severe postpartum haemorrhage and mode of delivery: A retrospective cohort study<...Severe postpartum haemorrhage and mode of delivery: A retrospective cohort study<...
TY - JOUR. T1 - Severe postpartum haemorrhage and mode of delivery. T2 - A retrospective cohort study. AU - Kok, N.. AU - Kaandorp, S.. AU - Pajkrt, E.. AU - Mol, B. W.. PY - 2012/7. Y1 - 2012/7. UR - http://www.scopus.com/inward/record.url?scp=84862531445&partnerID=8YFLogxK. U2 - 10.1111/j.1471-0528.2012.03360.x. DO - 10.1111/j.1471-0528.2012.03360.x. M3 - Letter. C2 - 22703428. AN - SCOPUS:84862531445. VL - 119. SP - 1017. EP - 1018. JO - BJOG-An International Journal of Obstetrics and Gynaecology. JF - BJOG-An International Journal of Obstetrics and Gynaecology. SN - 1470-0328. IS - 8. ER - ...
Health Economics Evaluation of the Management of Severe Postpartum Hemorrhage: Comparison of Recombinant Activated Factor VII...Health Economics Evaluation of the Management of Severe Postpartum Hemorrhage: Comparison of Recombinant Activated Factor VII...
Health Economics Evaluation of the Management of Severe Postpartum Hemorrhage: Comparison of Recombinant Activated Factor VII Strategy to the Reference Strategy
RePub, Erasmus University Repository: Severe postpartum haemorrhage as first presenting symptom of an inherited bleeding...RePub, Erasmus University Repository: Severe postpartum haemorrhage as first presenting symptom of an inherited bleeding...
Introduction: Postpartum haemorrhage (PPH) is the major cause of maternal death worldwide. Haemostatic abnormalities are independently associated with a signifi‐ cantly increased risk for severe PPH. In this study, the value of haemostatic evalua‐ tion in women with severe PPH was explored. Aim: To investigate the occurrence of previously unknown inherited bleeding disor‐ ders in women with severe PPH. Methods: Women with severe PPH (blood loss of ≥2000 mL) between 2011 and 2017, referred to the haematology outpatient clinic for haemostatic evaluation, were retrospectively included. A bleeding disorder was diagnosed based on (inter)national guidelines, or when having a clear bleeding phenotype, not fulfilling any diagnos‐ tic criteria or laboratory abnormalities, this being classified as Bleeding of Unknown Cause (BUC). Logistic regression was used to model the association between diagno‐ sis and obstetrical causes and risk factors for PPH. Results: In total, 85 women with PPH were ...
Evaluation and management of postpartum hemorrhage: Consensus from an international expert panel<...Evaluation and management of postpartum hemorrhage: Consensus from an international expert panel<...
TY - JOUR. T1 - Evaluation and management of postpartum hemorrhage. T2 - Consensus from an international expert panel. AU - Abdul-Kadir, Rezan. AU - McLintock, Claire. AU - Ducloy, Anne Sophie. AU - El-Refaey, Hazem. AU - England, Adrian. AU - Federici, Augusto B.. AU - Grotegut, Chad A.. AU - Halimeh, Susan. AU - Herman, Jay H.. AU - Hofer, Stefan. AU - James, Andra H.. AU - Kouides, Peter A.. AU - Paidas, Michael J.. AU - Peyvandi, Flora. AU - Winikoff, Rochelle. PY - 2014. Y1 - 2014. N2 - Postpartum hemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide, although the lack of a precise definition precludes accurate data of the absolute prevalence of PPH. Study Design and Methods An international expert panel in obstetrics, gynecology, hematology, transfusion, and anesthesiology undertook a comprehensive review of the literature. At a meeting in November 2011, the panel agreed on a definition of severe PPH that would identify those women who were at a ...
Recurrent secondary postpartum hemorrhages due to placental site vessel subinvolution and local uterine tissue coagulopathy |...Recurrent secondary postpartum hemorrhages due to placental site vessel subinvolution and local uterine tissue coagulopathy |...
Postpartum hemorrhage is a serious obstetrics emergency occurring independently from the mode of delivery. The traditional definition of PPH is based on quantification of blood loss but has variable criteria and several limitations across countries or obstetrics national societies. In general, for mild PPH, a blood loss ,500 ml and a severe blood loss ,1000 ml are considered after spontaneous delivery [13] or above 1000 ml in cesarean section [3]. Regardless of definitions used, only a visual assessment of blood loss is inaccurate [14], and many postpartum women are subsequently underdiagnosed/overdiagnosed for PPH. Thus, alternative blood loss assessment is a check for a drop in hematocrit of 10% counted before and after delivery [15]. The bleeding after labor can occur within 24 hours (primary form of PPH) or, later, from 24 hours after delivery until 6 weeks postpartum (secondary form) of PPH.. During the process of physiological subinvolution, bleeding from the uterus is regulated by several ...
External Validation of the fullPIERS Model for Predicting Adverse Maternal Outcomes in Pregnancy Hypertension in Low- and...External Validation of the fullPIERS Model for Predicting Adverse Maternal Outcomes in Pregnancy Hypertension in Low- and...
The hypertensive disorders of pregnancy are leading causes of maternal mortality and morbidity, especially in low- and middle-income countries. Early identification of women with preeclampsia and other hypertensive disorders of pregnancy at high risk of complications will aid in reducing this health burden. The fullPIERS model (Preeclampsia Integrated Estimate of Risk) was developed for predicting adverse maternal outcomes from preeclampsia using data from tertiary centers in high-income countries and uses maternal demographics, signs, symptoms, and laboratory tests as predictors. We aimed to assess the validity of the fullPIERS model in women with the hypertensive disorders of pregnancy in low-resourced hospital settings. Using miniPIERS data collected on women admitted with hypertensive disorders of pregnancy between July 2008 and March 2012 in 7 hospitals in 5 low- and middle-income countries, the predicted probability of developing an adverse maternal outcome was calculated for each woman ...
External Validation of the fullPIERS Model for Predicting Adverse Maternal Outcomes in Pregnancy Hypertension in Low- and...External Validation of the fullPIERS Model for Predicting Adverse Maternal Outcomes in Pregnancy Hypertension in Low- and...
The hypertensive disorders of pregnancy are leading causes of maternal mortality and morbidity, especially in low- and middle-income countries. Early identification of women with preeclampsia and other hypertensive disorders of pregnancy at high risk of complications will aid in reducing this health burden. The fullPIERS model (Preeclampsia Integrated Estimate of Risk) was developed for predicting adverse maternal outcomes from preeclampsia using data from tertiary centers in high-income countries and uses maternal demographics, signs, symptoms, and laboratory tests as predictors. We aimed to assess the validity of the fullPIERS model in women with the hypertensive disorders of pregnancy in low-resourced hospital settings. Using miniPIERS data collected on women admitted with hypertensive disorders of pregnancy between July 2008 and March 2012 in 7 hospitals in 5 low- and middle-income countries, the predicted probability of developing an adverse maternal outcome was calculated for each woman ...
Frontiers | A New Removable Uterine Compression by a Brace Suture in the Management of Severe Postpartum Hemorrhage | SurgeryFrontiers | A New Removable Uterine Compression by a Brace Suture in the Management of Severe Postpartum Hemorrhage | Surgery
Postpartum hemorrhage (PPH) is a life-threatening complication of delivery. It is the leading cause of maternal mortality. During the last 15 years, several total uterine compressive sutures were described in literature. They have proven their effectiveness and safety in the management of severe PPH as an alternative to hysterectomy. We present in this paper a new technique of uterine compressive sutures based on removable uterine brace compressive sutures with compression of the uterus against the pubis. This technique may be more effective by using two mechanisms of uterine bleeding control and also may prevent uterine synechia by respecting the uterine cavity and the removal of the suture 1 or 2 days later. We also present the results of a 15 patients series using this new suture.
How to Prevent Post Delivery Haemorrhage - Postpartum Haemorrhage Discussion Forum - Issues after Delivery Message BoardsHow to Prevent Post Delivery Haemorrhage - Postpartum Haemorrhage Discussion Forum - Issues after Delivery Message Boards
How should to prevent post delivery haemorrhage? In which cases post delivery haemorrhage is avoidable? What is the most effective mechanism to prevent post delivery haemorrhage? Divyanka replied. This is my third baby. My first two babies were normal and i had no complications. but in this case, i had my baby more than a month ago and am still bleeding.What is this, is this postpartum hemorrhage? Hemant replied. I agree that timely medical intervention can prevent PPH. But diet also play an important role in preventing post delivery haemorrhage. a good prenatal nutrition with supplements helps to have a safe delivery. multivitamins are also very effective in this regard. Suva replied. Postpartum hemorrhage can only be prevented by timely medical care. Good hospital with expert doctors can sense the risk of PPH and thus prevent it. It is best to discuss the issue with your doctor ...
Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency...Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency...
Defining postpartum hemorrhage (PPH) is problematic and has been historically difficult. Waiting for a patient to meet the postpartum hemorrhage criteria, particularly in resource-poor settings or with sudden hemorrhage, may delay appropriate intervention.
Preventing Postpartum Haemorrhage with Prenatal Care (Pregnancy, Birth and Beyond)Preventing Postpartum Haemorrhage with Prenatal Care (Pregnancy, Birth and Beyond)
When I set out on the journey of planning our fourth baby, I knew I would be labelled high risk by the medical profession due to previous postpartum haemorrhages (PPHs) during my second and third births. Michelle McRitchie tells the amazing story of her journey through her fourth pregnancy and her experiences with postpartum haemorrhage.
Complications of Postpartum hemorrhage - RightDiagnosis.comComplications of Postpartum hemorrhage - RightDiagnosis.com
Complications of Postpartum hemorrhage including hidden complications, secondary medical conditions, symptoms, or other types of Postpartum hemorrhage complication.
Postpartum HemorrhagePostpartum Hemorrhage
... is more bleeding than normal after the birth of a baby. About 1 in 100 to 5 in 100 women have postpartum hemorrhage. It is more likely with a cesarean birth. It most often happens after the placenta is delivered, but it can also happen later.
Postpartum HemorrhagePostpartum Hemorrhage
... is more bleeding than normal after the birth of a baby. About 1 in 100 to 5 in 100 women have postpartum hemorrhage. It is more likely with a cesarean birth. It most often happens after the placenta is delivered, but it can also happen later.
Article: Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A...Article: Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A...
Oxytocin is the drug of choice for prevention of postpartum hemorrhage. Its use has generally been restricted to medically trained staff in health facilities. The authors in this paper assessed the effectiveness, safety, and feasibility of PPH prevention using oxytocin injected by peripheral health care providers without midwifery skills at home births.. http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001524 ...
Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A...Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A...
This study assessed the effectiveness, safety, and feasibility of prevention of postpartum hemorrhage using oxytocin injected by peripheral health care providers without midwifery skills at home births. [adapted from abstract] Subject Task Shifting
Article: Postpartum haemorrhage and the WOMAN Trial • Global Health TrialsArticle: Postpartum haemorrhage and the WOMAN Trial • Global Health Trials
This article is part of the networks archive of useful research information. This article is closed to new comments due to inactivity. We welcome new content which can be done by submitting an article for review or take part in discussions in an open topic or submit a blog post to take your discussions online.. Haleema Shakur on behalf of The WOMAN Trial Management Group. Post partum haemorrhage (PPH) is a leading cause of maternal mortality, accounting for about 100,000 maternal deaths every year.1 Almost all (99%) of the deaths are in low and middle income countries and most of the deaths occur in the immediate post-partum period.2 There are known effective treatments for preventing severe bleeding after childbirth and it is essential to ensure that all pregnant women have access to these.3 However, even with these treatments, many women will develop severe post partum bleeding and there is an urgent need for a safe and effective treatment that is inexpensive and easy to administer across a ...
Postpartum hemorrhagePostpartum hemorrhage
Initiative to Prevent Women from Bleeding to Death at Childbirth Worldwide, post partum hemorrhage (bleeding after childbirth) typically causes around 130,000 maternal deaths a year, about 1/3 of all maternal deaths.
Wiley: Rapid Midwifery - Sarah Snow, Kate Taylor, Jane CarpenterWiley: Rapid Midwifery - Sarah Snow, Kate Taylor, Jane Carpenter
Preface, vii. Acknowledgement, ix. I Antenatal Care, 2. Antenatal Health Assessment, 3. Anxiety and Depression, 6. Bio-physical Tests, 8. Bleeding in Pregnancy, 15. Fetal Growth and Development, 18. Gestational Diabetes Mellitus, 21. Infections in Pregnancy, 23. Intrahepatic Cholestasis of Pregnancy, 33. Minor Disorders of Pregnancy, 35. Pre-conceptual Health, 37. Pre-eclampsia, 39. Preparation for Parenthood, 42. References, 43. II Labour and Birth, 49. First Stage of Labour, 50. Promoting Normality, 58. Second Stage of Labour, 61. Third Stage of Labour, 67. Challenges, 70. Cord Prolapse, 70. Eclampsia, 71. Primary Postpartum Haemorrhage, 74. Shoulder Dystocia, 77. References, 78. III Postnatal Care, 85. Contraception and Sexual Health, 86. Facilitating Breastfeeding, 88. Postnatal Health Assessment, 91. Mental Illness After Childbirth, 94. References, 96. IV Hot Topics, 99. Breech Birth, 100. Domestic Abuse, 104. Obesity, 106. Recognising the Deteriorating Woman, 108. Sepsis, 110. References, ...
Circulatory, Vascular and Cardiac sub-cluster 96Circulatory, Vascular and Cardiac sub-cluster 96
Uterine artery pseudoaneurysm is a rare cause of secondary postpartum hemorrhage but is potentially life-threatening and can occur after caesarean section (c-section) or a hysterectomy. A 28-year-old woman who developed secondary postpartum hemorrhage after c-section was diagnosed to have pseudoaneurysm from the left uterine artery on ultrasound (US) and computed ...
Secondary Postpartum Haemorrhage | ObcastSecondary Postpartum Haemorrhage | Obcast
During my emergency medicine specialist training I spent time training towards and working as a rural GP obstetrician. It remains some of the most enjoyable and rewarding time I have spent in medicine. Coming back to emergency medicine it is obvious that my colleagues are often uncomfortable managing pregnancy-related problems, particularly those in the latter stages. The goal of OBcast is to provide clear and practical information for the reluctant obstetrician (emergency physician, rural GP) and improve confidence and the quality of care these families receive during what is both a stressful and wonderful time of their lives.. Dr Ben ...
PIPER - Paediatric Infant Perinatal Emergency Retrieval : Secondary postpartum haemorrhagePIPER - Paediatric Infant Perinatal Emergency Retrieval : Secondary postpartum haemorrhage
Retained products of conception. Bleeding in the first few days after delivery is probably due to retained products of conception. Gentle digital evacuation of the uterus under general anaesthesia should be considered. Antibiotic therapy is indicated prior to the procedure.. Uterine infection. Bleeding occurring later in the puerperium is most usually due to infection of the uterus, for which antibiotics should be prescribed. If bleeding continues despite antibiotics, exploration of the uterus is indicated.. ...
WHO Guideline: Uterotonics for the Prevention of Postpartum Hemorrhage | Free Medical News & PerspectivesWHO Guideline: Uterotonics for the Prevention of Postpartum Hemorrhage | Free Medical News & Perspectives
WHO recommendations: Uterotonics for the prevention of postpartum haemorrhage - World Health Organization (free PDF) News Release: WHO updates guidance to
Browsing Coombe Women & Infants University Hospital by TitleBrowsing Coombe Women & Infants University Hospital by Title
BACKGROUND: Expectant management of the third stage of labour involves allowing the placenta to deliver spontaneously or aiding by gravity or nipple stimulation. Active management involves administration of a prophylactic oxytocic before delivery of the placenta, and usually early cord clamping and cutting, and controlled cord traction of the umbilical cord. OBJECTIVES: The objective of this review was to assess the effects of active versus expectant management on blood loss, post partum haemorrhage and other maternal and perinatal complications of the third stage of labour. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. SELECTION CRITERIA: Randomised trials comparing active and expectant management of the third stage of labour in women who were expecting a vaginal delivery. DATA COLLECTION AND ANALYSIS: Trial quality was assessed and data were extracted independently by the reviewers. MAIN RESULTS: Five studies were included. Four of the trials were of ...
Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide...Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide...
A major strength of our study is the large sample size and the fact that all cases of severe acute maternal morbidity that occurred in all hospitals in the Netherlands were collected meticulously over two years. As far as we are aware, this is the largest study to date into the association between planned place of birth and severe adverse maternal outcomes.. Our study has some limitations as well. Firstly, because we used registration data, some were missing or may have been misclassified. For example, information on the variable "start of labour in primary or secondary care" was not always consistent between midwifery and obstetric registration. However, sensitivity analyses using different definitions of this variable generated similar results. In addition, 10 101 women were excluded because their national perinatal database-1 form was missing when they were referred during labour. Some of these women were cared for by general practitioners or midwives who do not participate in the national ...
2011 Abstract Details - SOAP2011 Abstract Details - SOAP
Background Postpartum hemorrhage affects 4-6% of pregnancies and life-threatening hemorrhage is estimated to occur in 1:1000 live births(1). Hemorrhage is the primary cause of ICU admission and the second most common cause of maternal mortality in the U.S(2). Obstetric hemorrhage is known to be associated with coagulopathy, but the relationship between abnormal coagulation and estimated blood loss is not well defined. The objective of this study was to retrospectively examine the incidence and risk factors associated with abnormal coagulation in patients diagnosed with postpartum hemorrhage. Methods A query of the University of Colorado Perinatal Database from October 2005 to November 2009 was performed to identify patients with postpartum hemorrhage. Patients were selected based on estimated blood loss ≥500ml for vaginal delivery, ≥1000ml for cesarean delivery, or those were identified in their medical record as having experienced a postpartum hemorrhage. Patients with preexisting ...
Postpartum Hemorrhage - AWHONN ConnectionsPostpartum Hemorrhage - AWHONN Connections
I recently took part in a pilot program that the Association of Womens Health, Obstetric and Neonatal Nurses (AWHONN) trialed on postpartum hemorrhage risk assessments, evidence-based oxytocin orders, and hemorrhage drills and debriefing based upon a variety of settings.. Here are a few ideas that I have implemented without utilizing a simulation lab. These easy suggestions may help every obstetrical unit raise awareness of obstetrical hemorrhage and contribute to decreased maternal morbidity and mortality.. First, have a mock code on your unit using your own crash cart. You may be surprised to find out how many nurses are uncomfortable with finding key items in your crash cart. Use a pillow to simulate a gravid uterus and have one nurse demonstrate left uterine displacement while other nurses deliver compressions and ventilations. Additional nurses may find supplies, IVs, and medications in the code cart.. Second, devise a scavenger hunt and ask your staff to find the closest location of items ...
The relationship between type of labour and third stage oxytocic use on postpartum haemorrhage rates - UQ eSpaceThe relationship between type of labour and third stage oxytocic use on postpartum haemorrhage rates - UQ eSpace
Stewart, Lynne, Kendall, Amanda, Knight, Michelle, East, Christine and Wallace, Euan (2013). The relationship between type of labour and third stage oxytocic use on postpartum haemorrhage rates. In: Kathleen Fahy, Australian College of Midwives 18th Biennial Conference 2013: Abstracts. ACM2013: Australian College of Midwives 18th Biennial Conference, Hobart, TAS, Australia, (S27-S27). 30 September-3 October, 2013. doi:10.1016/j.wombi.2013.08.177 ...
Prevention and Management of Postpartum Hemorrhage by Lisa N. Medoh"Prevention and Management of Postpartum Hemorrhage" by Lisa N. Medoh
Postpartum hemorrhage (PPH) remains a major traumatic event that can occur after delivery. All expectant women are considered to be at risk of PPH and its effects. PPH is a preventable condition and primary interventions including active management of the 3rd stage of labor, use of uterotonics, and uterine massage. Analysis of the project site showed that PPH affected approximately 15% of all deliveries that occurred between 2014 and 2015. The overarching aim of the project was to determine how a nursing-focused educational intervention would affect staff nurse knowledge regarding PPH to decrease the incidence rate. The goal of the project was to develop an educational module for obstetric and postpartum nurses about prevention and management of PPH, decrease the PPH incidence rate from 15% to 10%, and evaluate the obstetric and postpartum nurses attitudes toward the Association of Womens Health, Obstetric and Neonatal Nurses (AWHONN) guideline used to decrease the risk of PPH. Banduras social
DynaMed EBM Focus 10: Oral Misoprostol Reduces Postpartum Hemorrhage During Home-Birth in Low-Resource SettingsDynaMed EBM Focus 10: Oral Misoprostol Reduces Postpartum Hemorrhage During Home-Birth in Low-Resource Settings
Reference: BJOG 2013 Feb;120(3):277 (level 1 [likely reliable] evidence). Postpartum hemorrhage is a major cause of maternal death in many low-resource countries around the world. While injected oxytocin is commonly used for hemorrhage prophylaxis in institutional settings, its use may be impractical if not impossible in areas where home birth is the norm and even skilled birth attendants are rare. A recent systematic review evaluated the evidence for oral misoprostol for the prevention of postpartum hemorrhage in such settings.. The review included 2 randomized trials and 4 non-randomized controlled trials comparing oral misoprostol vs. placebo or no treatment for women during the third stage of labor. The misoprostol dose was 600 mcg in 5 trials and 400 mcg in the other. Trained health workers administered the drug in 4 trials. In 2 trials, the drug was distributed to pregnant women following counseling during an antenatal visit with instruction for use during birth.. Oral misoprostol reduced ...
Papers with the keyword Post partum hemorrhage, pregnancy induced hypertension | Read by QxMDPapers with the keyword Post partum hemorrhage, pregnancy induced hypertension | Read by QxMD
Since 1996, maternal mortality is registered as part of a permanent confidential inquiry in France. The National Committee has studied all cases recorded to assess the cause of death and the avoidable obstetrical complications involved. Recommendations are proposed. In 1996 and 1997, there were 196 maternal deaths in France; 165 could be analyzed. The cause was obstetrical in 123 cases (74%), non-obstetrical in 26 (16%), and unidentified in 16 (10%). Ninety-seven direct deaths occurred (78% of the obstetrical mortality cases); 31 cases of hemorrhage including 19 post partum, 20 cases of pregnancy-induced hypertension, 10 cases of eclampsia and 7 of pre-eclampsia, 16 cases of amniotic fluid embolism, 11 cases of thromboembolism and 10 cases of sepsis ...
Treatment of postpartum hemorrhage with misoprostol - Gynuity Health ProjectsTreatment of postpartum hemorrhage with misoprostol - Gynuity Health Projects
A literature review was conducted to determine whether misoprostol is an effective treatment for postpartum hemorrhage (PPH) and in what dose. All English language articles published before March 2007 reporting on misoprostol for treatment of PPH were reviewed. Unpublished data previously presented at international scientific meetings were also included in the review. Little evidence exists in support of misoprostol for treatment of postpartum hemorrhage (PPH). Nonetheless, PPH remains a major killer of women worldwide, and new treatment options are widely sought. For this reason, we recommend a single dose of misoprostol 600 μg oral or sublingual for PPH treatment in instances when other treatments have either failed to work or are not available.. Access the abstract.. ...
Postpartum hemorrhage caused by uterine artery pseudoaneurysm and uterine rupture after vaginal delivery<...Postpartum hemorrhage caused by uterine artery pseudoaneurysm and uterine rupture after vaginal delivery<...
TY - JOUR. T1 - Postpartum hemorrhage caused by uterine artery pseudoaneurysm and uterine rupture after vaginal delivery. AU - Origoni, Massimo. AU - Gelardi, Chiara. AU - Pasi, Federica. AU - Salvatore, Stefano. AU - Candiani, Massimo. PY - 2012/7. Y1 - 2012/7. N2 - A case of massive hemoperitoneum determined by uterine rupture and uterine artery pseudoaneurysm dissection after vaginal delivery, requiring an emergency laparotomy with arterial ligation, is reported. The authors reviewed the published literature, finding 12 cases of uterine artery pseudoaneurysm and associated postpartum hemorrhage after vaginal delivery, but no cases with uterine rupture have ever been published. Diagnosis is based upon imaging, and management options include arterial embolization, arterial ligation and hysterectomy in particularly severe and life-threatening situations. Vaginal bleeding is associated with favorable outcomes and conservative treatment, while the absence of external blood loss seems to be ...
Misoprostol for the prevention of postpartum hemorrhage during home bi | IJWHMisoprostol for the prevention of postpartum hemorrhage during home bi | IJWH
Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution Jo Durham,1 Alongkone Phengsavanh,2 Vanphanom Sychareun,2 Isaac Hose,1 Viengnakhone Vongxay,2 Douangphachanh Xaysomphou,2 Keith Rickart3 1Faculty of Medicine, School of Public Health, University of Queensland, Brisbane, Queensland, Australia; 2Faculty of Post-Graduate Studies, University of Health Sciences, Vientiane, Lao PDR; 3Communicable Diseases Branch, Department of Health, Brisbane, Queensland, Australia Purpose: The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People’s Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of
Daytime Compared With Nighttime Differences in Management and Outcomes of Postpartum Hemorrhage<...Daytime Compared With Nighttime Differences in Management and Outcomes of Postpartum Hemorrhage<...
TY - JOUR. T1 - Daytime Compared With Nighttime Differences in Management and Outcomes of Postpartum Hemorrhage. AU - Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network. AU - Yee, Lynn M.. AU - McGee, Paula. AU - Bailit, Jennifer L.. AU - Reddy, Uma M.. AU - Wapner, Ronald J.. AU - Varner, Michael W.. AU - Thorp, John M.. AU - Leveno, Kenneth J.. AU - Caritis, Steve N.. AU - Prasad, Mona. AU - Tita, Alan T.N.. AU - Saade, George. AU - Sorokin, Yoram. AU - Rouse, Dwight J.. AU - Blackwell, Sean C.. AU - Tolosa, Jorge E.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - OBJECTIVE: To assess whether postpartum hemorrhage management or subsequent morbidity differs based on whether delivery occurred during the day or night. METHODS: We conducted a secondary analysis of a multicenter observational obstetric cohort of more than 115,000 mother-neonate pairs from 25 hospitals (2008-2011). This analysis included women delivering singleton ...
Evaluation of process management of postpartum hemorrhage due to uterine atony - pdf descargarEvaluation of process management of postpartum hemorrhage due to uterine atony - pdf descargar
Evaluation of process management of postpartum hemorrhage due to uterine atony. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
Preventing Maternal Morbidity from Obstetric Hemorrhage: Implications of a Provider Training Initiative<...Preventing Maternal Morbidity from Obstetric Hemorrhage: Implications of a Provider Training Initiative<...
TY - JOUR. T1 - Preventing Maternal Morbidity from Obstetric Hemorrhage. T2 - Implications of a Provider Training Initiative. AU - Kominiarek, Michelle A.. AU - Scott, Shirley. AU - Koch, Abigail R.. AU - Zeschke, Maripat. AU - Cordova, Yvette. AU - Ravangard, Samadh F.. AU - Schy, Deborah. AU - Geller, Stacie E.. PY - 2017/1/1. Y1 - 2017/1/1. N2 - Objective The objective of this study was to compare severe morbidity due to obstetrical hemorrhage and its potential preventability before and after a mandated provider training initiative on obstetric hemorrhage. Study Design Cases of severe morbidity due to obstetric hemorrhage during 2006 (n = 64 before training initiative) and 2010 (n = 71 after training initiative) were identified by a two-factor scoring system of intensive care unit admission and/or transfusion of ≥ 3 units of blood products and reviewed by an expert panel. Preventable factors were categorized as provider, system, and/or patient related. Results Potential preventability did ...
Calculated blood loss in severe obstetric hemorrhage and its relation to body mass index<...Calculated blood loss in severe obstetric hemorrhage and its relation to body mass index<...
TY - JOUR. T1 - Calculated blood loss in severe obstetric hemorrhage and its relation to body mass index. AU - Hernandez, Jennifer S.. AU - Alexander, James M.. AU - Sarode, Ravindra. AU - McIntire, Donald D.. AU - Leveno, Kenneth J.. PY - 2012/4/13. Y1 - 2012/4/13. N2 - Objective To evaluate total calculated blood loss at the time of severe obstetric hemorrhage. Study Design This is a prospective observational study of women with obstetric hemorrhage. Women who received a blood transfusion for hypovolemia and those in which a body mass index (BMI) could be calculated were included. Total blood volume lost was calculated. Blood loss was analyzed in relation to maternal size as reflected in the BMI. Results Fourteen hundred forty-three women meeting inclusion criteria delivered at our hospital between March 2002 and June 2006. The median calculated volume of blood lost was 3529 mL, and 93% of women sustained losses 3000 mL. The blood loss sufficient to provoke signs and symptoms of hypovolemia ...
Table 3 | Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated...Table 3 | Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated...
Table 3: Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation
The Evidence-based Management of Postpartum Haemorrhage - Training Course in Karnataka, India, July 11-12 and 19, 2014The Evidence-based Management of Postpartum Haemorrhage - Training Course in Karnataka, India, July 11-12 and 19, 2014
July 11-12 and 19, 2014. Local Coordinator: Dr Swaroop N. The Oxford University Maternal and Perinatal Health Institute (OMPHI) in collaboration with the Geneva Foundation for Medical Education and Research (GFMER) has provided health professionals from Karnataka in Southern State of India with a three-day, free training course on The evidence-based management of Postpartum Haemorrhage. The course was developed in an e-learning format and sponsored by the Maternal Health Task Force at the Harvard School of Public Health and the funding was provided by the Bill & Melinda Gates Foundation.. The training was conducted with the support of Karnataka Health Promotion Trust (KHPT), India and held at the Hospet Province on 11th & 12th July 2014 and at Gulbarga Province on 19th July 2014. The event was facilitated by Dr Swaroop N, technical manager Maternal, Neonatal and Child Health (MNCH) Project, Dr Pavan BS, technical Manager MNCH Project, Dr L Troy Cunningham, Deputy Director-Quality Improvement ...
Tranexamic acid decreased death from bleeding but not all-cause mortality in women with postpartum hemorrhage (WOMAN) | EE+...Tranexamic acid decreased death from bleeding but not all-cause mortality in women with postpartum hemorrhage (WOMAN) | EE+...
Tranexamic acid decreased death from bleeding but not all-cause mortality in women with postpartum hemorrhage (WOMAN) answers are found in the EE+ POEM Archive powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
Uterine balloon tamponade as a second line treatment for uncontrolled postpartum hemorrhage: A qualitative study exploring...Uterine balloon tamponade as a second line treatment for uncontrolled postpartum hemorrhage: A qualitative study exploring...
How to Cite: Natarajan, A., Chavez, J., Ahn, R., Nelson, B.D., Eckardt, M. and Burke, T., 2015. Uterine balloon tamponade as a second line treatment for uncontrolled postpartum hemorrhage: A qualitative study exploring lower level provider perceptions of effectiveness, feasibility, and acceptability in lower level health facilities in Kenya. Annals of Global Health, 81(1), p.79. DOI: http://doi.org/10.1016/j.aogh.2015.02.686 ...
Misoprostol Pilot Project | The Bixby Center for Population, Health, and SustainabilityMisoprostol Pilot Project | The Bixby Center for Population, Health, and Sustainability
Suzanne Bell, MPH Candidate. As a Bixby summer intern, Suzanne worked alongside two domestic NGOs in rural Bangladesh to complete the next phase of the Misoprostol Pilot Project. The projects overall aim is to illustrate that womens use of misoprostol and an absorptive mat during childbirth can reduce the rates of post partum hemorrhage (PPH), a leading cause of maternal death.. Suzannes internship objective was two-fold: collect retrospective data regarding the rates of maternal mortality and PPH prior to the inception of the clinical trial, and interview personnel involved with the program to ascertain perceptions and sustainability of the project. Although it required great tenacity to collect years of data from myriad government and NGO officials, Suzanne achieved her first aim. She also completed her second goal by conducting 24 in-depth interviews throughout the interventions catchment area, which produced a wealth of rich data. In order to meet these objectives, Suzanne traveled to 6 ...
Kee Pharma - because life mattersKee Pharma - because life matters
Internal and external hemorrhage, Accidental hemorrhage, Dental and orthopedic surgery, Surgery haemoptysis, Secondary post partum hemorrhage, Dysfunctional uterine bleeding, MTP, D&C, Menorrhagia/Metrorrhagia, IUCD induced ...
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Ms G from London, 37 years old at the time of the incident, gave birth to her second child at the Royal Berkshire Hospital on 17 October 2009.. She returned home with her newborn baby but continued to bleed very heavily.. On 13 November 2009 she collapsed at home. Luckily, a health visitor happened to be present and called an ambulance, which took Ms G back to hospital.. Following investigations, it was found that a large piece of placenta had been retained, which had caused a post partum haemorrhage.. Ms G had to undergo an Evacuation of Retained Products of Conception (ERPC), a procedure under general anaesthetic to remove the retained placenta. The operation revealed the piece of retained placenta was 6 x 4 cm in size.. Post operatively Ms G required intravenous antibiotics and a blood transfusion. It was estimated that she lost 1.5 to 2 litres of blood.. She was discharged on 15 November 2009.. The Royal Berkshire NHS Foundation Trust admitted liability and the case was settled for ...
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Drugs in Labour - Zero To FinalsDrugs in Labour - Zero To Finals
Ergometrine is derived from ergot plants. It stimulates smooth muscle contraction, both in the uterus and blood vessels. This makes it useful for delivery of the placenta and to reduce postpartum bleeding. It may be used during the third stage of labour (delivery of the placenta) and postpartum to prevent and treat postpartum haemorrhage. It is only used after delivery of the baby, not in the first or second stage.. Due to the action on the smooth muscle in blood vessels and gastrointestinal tract, it can cause several side effects, including hypertension, diarrhoea, vomiting and angina. It needs to be avoided in eclampsia, and used only with significant caution in patients with hypertension.. Syntometrine is a combination drug containing oxytocin (Syntocinon) and ergometrine. It can be used for prevention or treatment of postpartum haemorrhage.. ...
Scaling up Misoprostol for Postpartum Hemorrhage: Moving from Evidence to Action | Management Sciences for HealthScaling up Misoprostol for Postpartum Hemorrhage: Moving from Evidence to Action | Management Sciences for Health
Cette note dinformation stratégique, publié par la FCI en partenariat avec Gynuity Health Projects, PATH, et la FIGO, explore des stratégies pour aider les gouvernements et les partenaires améliorer la santé maternelle en élargissant laccès au misoprostol pour lhémorragie du post-partum (HPP), lune des principales causes de mortalité maternelle. Les principales stratégies pour introduire et élargir laccès au misoprostol pour le traitement et la prévention de lHPP comprennent : mettre en place une politique nationale favorable Inclure le misoprostol dans les budgets nationaux pour la santé ; préparer et diffuser des directives cliniques au niveau national Former les prestataires de santé ; assurer un approvisionnement et une distribution constants ; and sensibiliser les communautés et renforcer leur demand.. ...
Scaling up Misoprostol for Postpartum Hemorrhage: Moving from Evidence to ActionScaling up Misoprostol for Postpartum Hemorrhage: Moving from Evidence to Action
Cette note dinformation stratégique, publié par la FCI en partenariat avec Gynuity Health Projects, PATH, et la FIGO, explore des stratégies pour aider les gouvernements et les partenaires améliorer la santé maternelle en élargissant laccès au misoprostol pour lhémorragie du post-partum (HPP), lune des principales causes de mortalité maternelle. Les principales stratégies pour introduire et élargir laccès au misoprostol pour le traitement et la prévention de lHPP comprennent : mettre en place une politique nationale favorable Inclure le misoprostol dans les budgets nationaux pour la santé ; préparer et diffuser des directives cliniques au niveau national Former les prestataires de santé ; assurer un approvisionnement et une distribution constants ; and sensibiliser les communautés et renforcer leur demand.. ...
Erratum to: P47 A review of Massive Obstetric Haemorrhage (MOH) in the East of Ireland and its association with Maternal...Erratum to: P47 A review of Massive Obstetric Haemorrhage (MOH) in the East of Ireland and its association with Maternal...
Introduction: Massive obstetric haemorrhage (MOH), blood loss of ,2000 ml, is a life-threatening emergency in the postpartum. The aim of this review is to address the incidence of maternal obesity, a modifiable risk factor contributing to MOH.. Methods: This 6-year retrospective review involved the interrogation of the annual clinical reports of the tertiary maternal centres in the East of Ireland between the years 2009-2014. We assessed patient risk factors for developing MOH in the antenatal period with a focus on maternal obesity (Body Mass Index (BMI) ≥30 Kg/m2). Associations between categorical variables were tested using Pearsons chi-square test.. Results: The incidence of MOH was 2.21/1,000 livebirths during the 6-year period. Of those women 20.5% of cases had BMIs recorded and 34.72% of those with recorded BMI were obese. Within the obese cohort, patients suffered an average blood loss of 2820 ml in the first 24 hours postpartum, with 88% requiring a blood transfusion. There was a ...
Katheryne Downes, PhD candidate | UMD School of Public HealthKatheryne Downes, PhD candidate | UMD School of Public Health
Last year, she took a global health course which gave her perspective on creative solutions to improve birth outcomes. "In the U.S., if a woman in a hospital is experiencing a postpartum hemorrhage, we have ready access to a variety of treatments and medical professionals to save her life, but in a place like rural Pakistan where only 30% of births are attended by any skilled health professional and essential medications are only available to 3.3% of the public market, other strategies were necessary," she explains. Downes describes how a combination of several innovative programs, including the Lady Health Workers (which trains local young women to provide basic primary health services) and the introduction of prophylactic misoprostol for postpartum hemorrhage (an inexpensive, easy to use medication that requires no refrigeration) has led to significant reductions in the incidence of maternal mortality in Pakistan. "Similarly, we may be able to develop less-expensive, effective ways of ...
Antepartum Pituitary Insufficiency in Diabetes Mellitus | Annals of Internal Medicine | American College of PhysiciansAntepartum Pituitary Insufficiency in Diabetes Mellitus | Annals of Internal Medicine | American College of Physicians
Pituitary infarction is a well-known consequence of postpartum hemorrhage and attendant hypotension (Sheehans syndrome). Antepartum pituitary necrosis, however, is exceedingly rare, having been reported in only four women, all young diabetics. The clinical findings and laboratory data for three additional subjects who developed acute pituitary insufficiency during the latter part of pregnancy are reported. None experienced pre- or post-partum hemorrhage or hypotension, and all delivered viable, healthy babies. After delivery all women were amenorrheic, developed cold intolerance, and had either absent or inadequate lactation. Laboratory studies showed diminished levels of plasma growth hormone, luteinizing hormone, and follicle-stimulating hormone in all three subjects; in two there was a decreased radioactive iodine uptake and diminished base-line 17-hydroxysteroids and 17-ketosteroids. On replacement therapy the three women have remained in relatively good health for 8 to 15 years after ...
Author Question: Bleeding to DeathAuthor Question: Bleeding to Death
Sorry to post a day late. Yes, postpartum hemorrhage can occur in the hospital. Nurses and docs are trained to respond to this serious complication. Number one reason is uterine atony (a boggy uterus). Normally after birth the uterus contracts, squeezing the blood vessels in the uterus to slow the bleeding. Predisposing factors to bleeding are an overdistended uterus (ie twins+, polyhydramnios (excess amniotic fluid), rapid labor, long induced labor, an infected uterus, grand multiparity (having many babies), retained placenta(uterus cant contract around it) placenta accreeta (buried into muscle of uterus. Lacerations of vagina or cervix can also result in excess blood loss. Treatment is aimed at cause. Agents to help uterus contract are given for uterine atony (pitocin, methergine, hemobate. The uterus can be packed. Uterine artery ligation, a surgical procedure can be attempted. Hysterectomy is last ditch effort. If placenta retained, then manual removal or surgical scraping can be done. ...
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Sheehans syndrome - Diagnosis and treatment - Mayo ClinicSheehan's syndrome - Diagnosis and treatment - Mayo Clinic
Sheehans syndrome - Comprehensive overview covers signs and symptoms, causes, treatment of this rare complication of postpartum hemorrhage.
Recurrent confusion and hypopituitarism. | Postgraduate Medical JournalRecurrent confusion and hypopituitarism. | Postgraduate Medical Journal
Three women in late middle age had recurrent episodes of confusion which could not be explained solely on the basis of an associated infection. All three patients had latent hypopituitarism diagnosed on final presentation. Each patient had a previous history of a severe postpartum haemorrhage followed by two further pregnancies. Experienced clinicians had not made a diagnosis of confusional episodes due to hypopituitary encephalopathy because the history was not immediately available in the confused patient, and the significance of deficient axillary and pubic hair was not given due emphasis.. ...
Caring for pregnant women for whom transfusion is not an option. A national review to assist in patient careCaring for pregnant women for whom transfusion is not an option. A national review to assist in patient care
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality and morbidity globally. Obstetric bleeding can be catastrophic and management is challenging, involving a coordinated multidisciplinary approach, which may include blood products. In settings where blood transfusion is not an option, either because of patient refusal (most commonly in Jehovah Witnesses) or because of unavailability of blood, management becomes even more challenging. Observational studies have demonstrated an association between refusal of blood products in major obstetric haemorrhage and increased morbidity and mortality. This review draws upon evidence in the literature, physiological principles and expert opinion for strategies and guidance to optimise the outcomes of pregnant women in whom blood transfusion is either refused or impossible. The importance of a multidisciplinary antenatal and perinatal management plan, including optimisation of haemoglobin and iron stores pre-delivery, blood loss ...
Misoprostol: an alternative to oxytocin in management of 3rd stage of labour in rural india?? | International Journal of Recent...Misoprostol: an alternative to oxytocin in management of 3rd stage of labour in rural india?? | International Journal of Recent...
Study methods: A prospective observational study was carried out in the Department of Obstetrics and Gynaecology, Kanwatiya Hospital, SMS Medical College, JAIPUR (Rajasthan) from December 2016 to February 2017. Active management of 3rd stage of labor was done by using either inj. Oxytocin 10 IU or tab. Misoprostol 800µg as per the group of the patient. Duration of the third stage of labor, the amount of blood loss, the incidence of postpartum haemorrhage, a drop in haemoglobin concentration from predelivery to 24 h after delivery and adverse effect of drugs were measured ...
JustMommies Message Boards - SORRY MIA Need advice/input. Warning VERY LONGJustMommies Message Boards - SORRY MIA Need advice/input. Warning VERY LONG
So recently my family and I moved in with my in-laws due to financial issues on our side and theirs to kind of help everyone out. That is all going well, no complaints there. The issue I am having is that I moved 80 miles from my OB so I have had to select a new one. I really wanted to go all natural this time around and use a mid-wife but I have been turned down by 3 of them due to my high risk of postpartum hemorrhage, I have had this happen with my last two births that were pretty severe. I required a D&C and transfusions. So I need to use a doc and deliver in a hospital should an emergency like this arise. Any who, a part of me really feels that the intense use of pitocin in my last labor was the main cause of the hemorrhage, no one has ever been able to tell why this has happened only to say uterine atony. Which basically means my uterus was tired. Although I want to go natural a part of me is really scared that should I hemorrhage having someone manually massage my uterus without the ...
OPUS at UTS: Community-based misoprostol for the prevention of post-partum haemorrhage: A narrative review of the evidence base...OPUS at UTS: Community-based misoprostol for the prevention of post-partum haemorrhage: A narrative review of the evidence base...
OPUS (Open Publications of UTS Scholars) is the UTS institutional repository. It showcases the research of UTS staff and postgraduate students to a global audience. For you, as a researcher, OPUS increases the visibility and accessibility of your research by making it openly available regardless of where you choose to publish.. Items in OPUS are enhanced with high quality metadata and seeded to search engines such as Google Scholar as well as being linked to your UTS research profile, increasing discoverability and opportunities for citation of your work and collaboration. In addition, works in OPUS are preserved for long-term access and discovery.. The UTS Open Access Policy requires UTS research outputs to be openly available via OPUS. Depositing your work in OPUS also assists you in complying with ARC, NHMRC and other funder Open Access policies. Providing Open Access to your research outputs through OPUS not only ensures you comply with these important policies, but increases opportunities ...
Browse publications - PATHBrowse publications - PATH
PATHs Maternal and Newborn Health Technology Initiative, in collaboration with South Africas KwaZulu Natal Department of Health, produced this essential training video on active management of the third stage of labor. Using real clinical footage, this video presents the information, skills, and practices that birth attendants need to routinely provide this life-saving intervention and prevent postpartum hemorrhage. To obtain free copies of the video on CD-ROM, please email a request to [email protected] For optimal viewing of the low-resolution versions posted here, save the files to your hard drive by right-clicking on the links below and selecting "Save target as." Please note: the Clinical Tutorial and Core Topics files require Windows Media Player, available as a free download from Microsoft.. Publication date: January 2008. Region: Global ...
mother Archives - BornstroppyBornstroppymother Archives - BornstroppyBornstroppy
In their initial letter to Ms T dated 12 April 2012, the Trust said the Midwife felt her decision to administer Syntometrine was in part due to her lack of experience in attending home births. As this is a somewhat vague statement, I can understand why Ms T queried it. However, the Trust provided her with a more detailed explanation in their letter of 9 May. The Trust said that NICE guidance advises that, for active management of the third stage of labour, oxytocin (Syntometrine) is given followed by early cord clamping and cutting. But they clarified that a midwife with more experience of attending home births may have combined active and physiological management of the third stage of labour. I have taken account of the Midwife Advisers comments that NICE guidance recommends active management of the third stage of labour to reduce the risk of the mother suffering a haemorrhage. She also said that, given the presence of meconium, early cutting and clamping of the cord was good practice, in ...
Does Cord Drainage of Placental Blood Facilitate Delivery of the Placenta? - UQ eSpaceDoes Cord Drainage of Placental Blood Facilitate Delivery of the Placenta? - UQ eSpace
EDITORIAL COMMENT: Most busy practitioners hold strong opinions, based on clinical experience they will say, of the preferred regimen for management of common clinical problems. This study shows that strongly held beliefs may be falacious. The authors have shown that drainage of placental blood from the cord does not affect the rates of retained placenta and postpartum haemorrhage. The editor has always taught that releasing the cord clamp and allowing drainage of placental blood minimizes fetomatemal haemorrhage and assists placental delivery ‐ he stands corrected. However, draining the cord does no harm, and the reviewer of this paper commented that at least it minimizes the mess if the cord breaks during delivery of the placenta by controlled cord traction! Our common clinical regimes should be scrutinized more often, especially when clinical results or community costs are involved. This study did not attempt to assess the value to the fetus of early versus late clamping of the cord. ...
Obstetric Hemorrhage, its role in maternal morbidity and mortality and the importance of its diagnosis, prevention and timely...Obstetric Hemorrhage, its role in maternal morbidity and mortality and the importance of its diagnosis, prevention and timely...
Plan Estatal de Desarrollo Hidalgo 2016-2022 Visión prospectiva 2030. Gobierno del Estado de Hidalgo. [Document on the internet] Pachuca de Soto 2017. [Cited March 2019] Available on: http://planestataldedesarrollo.hidalgo.gob.mx/pdf/PED/PED/Ped_Completo.pdf Rojas AJ, Cogollo M, Jezid EM, Ramos CE, Fernández CJ, Bello MA. Morbilidad materna extrema en cuidados intensivos obstétricos Cartagena Colombia: 2006-2008. Rev. Colomb. Obstet. Ginecol. 2011; 62(2):131-140. Secretaría de Salud. Búsqueda intencionada de muertes maternas y de menores de cinco años, y Registro de nacimientos en los 101 municipios con bajo índice de desarrollo humano. [Document on the internet]. México 2013. [Cited March 2019] Available on: www.dgis.salud.gob.mx/descargas/pdf/BIMMyM5.pdf González Ortíz LD, Gómez Arias RD, Vélez Álvarez GA, Agudelo Londoño SM, Gómez J, Wylie J. Características de la atención hospitalaria y su relación con la morbilidad materna extrema en Medellín, Colombia. Rev. Panam. Salud ...
Predictive Model for Postpartrum Haemorrhage and Sepsis | PRE-EMPTPredictive Model for Postpartrum Haemorrhage and Sepsis | PRE-EMPT
Through funding from Grand Challenges Canada, we have initiated a predictive modeling project focussed on hypotension. A prospective cohort study will be conducted at Jinnah Post Graduate Medical Center (JPMC), Karachi, Pakistan. We are recruiting women who have admitted for delivery or are postpartum within forty-two days of delivery and aim to reach a sample size of one hundred adverse maternal outcomes. With this project, we are ultimately aiming to incorporate a hypotension risk model into the PIERS platform. Once data collection is completed a prediction model will be developed by Samina Bakhtawar, Masters Student at Aga Khan University, Karachi, Pakistan.. ...
Click to printClick to print
A new mother in Tanzania who took misoprostol after delivering her baby at home. Misoprostol is a low cost, off-patent, easy to administer drug that greatly reduces the chance of postpartum hemorrhage, the leading cause of maternal death. The Bixby Center is committed to reducing maternal mortality worldwide. One strategy is the use of misoprostol in resource poor settings. ...
Misoprostol kay Zariye Mehfooz Paidiesh - Women on WavesMisoprostol kay Zariye Mehfooz Paidiesh - Women on Waves
Paidiesh kay doran ziyada khoon ka bahawo Jo kay PPH (Postpartum hemorrhage) ka sabab banta hai, jis main khawateen ki Mout wakiya ho skti hai. Is bhari khoon kay bahawo se (25%) tak Imwat ho skti hain. 14 million yani 1 caror 40 lac khawateen har sal Paidiesh kay Marhalay se guzarti hain. Jis main bht si Bhari khoon kay bahawo ka samna karti hain.
Recombinant factor VIIa in the management of postpartum bleeds: an audit of clinical use.Recombinant factor VIIa in the management of postpartum bleeds: an audit of clinical use.
BACKGROUND: This paper presents an analysis of 25 patient cases in which recombinant factor VIIa was used in the management of postpartum hemorrhage, including severe and/or life-threatening bleeds. Anecdotal experiences in the empirical use of this
Where Can I Buy Cytotec In South Africa - Misoprostol Cytotec AustraliaWhere Can I Buy Cytotec In South Africa - Misoprostol Cytotec Australia
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Answers to the Oxytocin ExamAnswers to the Oxytocin Exam
The woman experienced allergic reaction and common complications to the oxytocin drug that was injected to her prior to her delivery. She experienced dyspnea, nausea, rashes and postpartum hemorrhage; while her newborn baby was normal. She must consult her doctor immediately about what she had experienced after her delivery. She must be given proper care until her condition is stabilized. The newborn baby, however, must be observed if he develops certain reaction against the oxytocin drug. This case would not be ever possible if the woman, first, had some test to detect if she is allergic or not to some of the components of the oxytocin drug. ...
Labor Complications - FamilyEducationLabor Complications - FamilyEducation
Labor and delivery complications during childbirth can include premature labor, fetal distress, failure to progress, cord prolapse, shoulder dystocia, and postpartum hemorrhage. See how these issues are handled.
Breastfeeding For Up To One Year After Birth Can Reduce Child Mortality, UNICEF Says | The Henry J. Kaiser Family FoundationBreastfeeding For Up To One Year After Birth Can Reduce Child Mortality, UNICEF Says | The Henry J. Kaiser Family Foundation
Aug 03, 2011 Breastfeeding from birth to six months or a year can reduce deaths among children under five by 13 percent, a statistic that UNICEF is highlighting during World Breastfeeding Week, which runs through August 7, the International Business Times reports (DeNinno, 8/2).. According to a UNICEF news story, "exclusive breastfeeding of infants and young children could save many lives â€" because breastmilk is the most complete food available, containing all the nutrients, energy and antibodies that babies need to fight infections" (Green, 8/2). Other benefits of breastfeeding include reductions in stunted growth among children and mothers risks of "postpartum hemorrhage, anemia, maternal iron depletion, breast and ovarian cancer and diabetes," according to UNICEF, IBT notes. According to the agency, 36 percent of children are breastfed in developing countries (8/2).. ...
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Exam Under Anesthesia after NSVD | Medical Billing and Coding Forum - AAPCExam Under Anesthesia after NSVD | Medical Billing and Coding Forum - AAPC
I need some help coding for an exam under anesthesia. The patient was taken to OR after a SVD due bleeding (postpartum hemorrhage) with prolapsing...
Products of conceptionProducts of conception
EngenderHealthEngenderHealth
B-Lynch sutureB-Lynch suture
Sheehans syndromeSheehan's syndrome
Balloon tamponadeBalloon tamponade
Fundal massageFundal massage
SulprostoneSulprostone
Pamplona, Negros OrientalPamplona, Negros Oriental
Maternal deathMaternal death
Maternal healthMaternal health
Never eventsNever events
CarbetocinCarbetocin
UterotonicUterotonic
MisoprostolMisoprostol
ErgotamineErgotamine
ChildbirthChildbirth
CarboprostCarboprost
Leonurus japonicusLeonurus japonicus
Utako OkamotoUtako Okamoto
BreastfeedingBreastfeeding
Tranexamic acidTranexamic acid
Placental expulsionPlacental expulsion
Hypercoagulability in pregnancyHypercoagulability in pregnancy
Bakri balloonBakri balloon
Childbirth in NepalChildbirth in Nepal
Uterine atonyUterine atony
Gestational hypertensionGestational hypertension
EmbolizationEmbolization
James Blundell (physician)James Blundell (physician)
EmbolizationEmbolization
Intraparenchymal hemorrhageIntraparenchymal hemorrhage
DomperidoneDomperidone
Outline of obstetricsOutline of obstetrics
Posttraumatic stress disorderPosttraumatic stress disorder
ಗರ್ಭಪಾತ - ವಿಕಿಪೀಡಿಯಗರ್ಭಪಾತ - ವಿಕಿಪೀಡಿಯ
සිසේරියානු සැත්කම - විකිපීඩියා, නිදහස් විශ්වකෝෂයසිසේරියානු සැත්කම - විකිපීඩියා, නිදහස් විශ්වකෝෂය
Obstetrics and gynaecologyObstetrics and gynaecology
Vaginal bleedingVaginal bleeding
Pituitary apoplexyPituitary apoplexy
ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ - ವಿಕಿಪೀಡಿಯಶಸ್ತ್ರಚಿಕಿತ್ಸೆ - ವಿಕಿಪೀಡಿಯ
PregnancyPregnancy
ThrombosisThrombosis
NippleNipple
Womens healthWomen's health
Ectopic pregnancyEctopic pregnancy
BleedingBleeding
Odon deviceOdon device
Bicornuate uterusBicornuate uterus
Postpartum periodPostpartum period
Milton KeynesMilton Keynes
Horse colicHorse colic
Compulsory sterilizationCompulsory sterilization
SurgerySurgery
Fundal massageFundal massage
Avisî - WîkîpediyaAvisî - Wîkîpediya
Maternal healthcare in TexasMaternal healthcare in Texas
AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaInformation ScienceHealth CareGeographicals
Postpartum HemorrhageUterine InertiaOxytocicsLabor Stage, ThirdMisoprostolPlacenta, RetainedHemorrhageCerebral HemorrhageDelivery, ObstetricMaternal MortalityUterine Balloon TamponadeHome ChildbirthPregnancySubarachnoid HemorrhageObstetric Labor ComplicationsEpisiotomyMethylergonovineMidwiferyErgonovineAdministration, SublingualOxytocinPlacenta PreviaIntracranial HemorrhagesCesarean SectionLabor Stage, SecondPlacenta AccretaHospitals, MaternityUterine Artery EmbolizationPregnancy ComplicationsRetinal HemorrhageMedicine, Tibetan TraditionalEmpty Sella SyndromeObstetricsUterine ArteryLabor, ObstetricEndotamponadeParturitionEclampsiaLabor, InducedUterusBalloon OcclusionPregnancy OutcomeGastrointestinal HemorrhageHypopituitarismSuturesVitreous HemorrhageBlood TransfusionMaternal Health ServicesEye HemorrhagePerineumPakistanFranceHysterectomyBritish ColumbiaPostpartum PeriodEmbolization, TherapeuticRisk FactorsRetrospective StudiesUmbilical CordTreatment OutcomeMorbidity
Plus itPlus it
Dr. Roses Peripheral Brain--POSTPARTUM HEMORRHAGEDr. Rose's Peripheral Brain--POSTPARTUM HEMORRHAGE
Secondary (late) postpartum hemorrhageSecondary (late) postpartum hemorrhage
Antidepressants and postpartum haemorrhage | The BMJAntidepressants and postpartum haemorrhage | The BMJ
Garment saves mothers from postpartum hemorrhage - SFGateGarment saves mothers from postpartum hemorrhage - SFGate
3 Ways to Eliminate Postpartum Hemorrhage - wikiHow3 Ways to Eliminate Postpartum Hemorrhage - wikiHow
Postpartum Hemorrhage: Background, Problem, EpidemiologyPostpartum Hemorrhage: Background, Problem, Epidemiology
Cheap Drug Cuts Maternal Deaths Due to Postpartum HemorrhageCheap Drug Cuts Maternal Deaths Due to Postpartum Hemorrhage
Postpartum Haemorrhage and Retained Products of Conception Postnatal | SpringerLinkPostpartum Haemorrhage and Retained Products of Conception Postnatal | SpringerLink
4 Ways to Recognize Symptoms of a Postpartum Hemorrhage - wikiHow4 Ways to Recognize Symptoms of a Postpartum Hemorrhage - wikiHow
Postpartum Hemorrhage | Denver HealthPostpartum Hemorrhage | Denver Health
Tranexamic acid shown to reduce post-partum hemorrhage deaths - Business InsiderTranexamic acid shown to reduce post-partum hemorrhage deaths - Business Insider
rhuFVIIa in Post-partum Hemorrhage - Tabular View - ClinicalTrials.govrhuFVIIa in Post-partum Hemorrhage - Tabular View - ClinicalTrials.gov
Normal and Abnormal Puerperium: Overview, Routine Postpartum Care, HemorrhageNormal and Abnormal Puerperium: Overview, Routine Postpartum Care, Hemorrhage
Safety Pin Suture for Management of Atonic Postpartum HemorrhageSafety Pin Suture for Management of Atonic Postpartum Hemorrhage
Postpartum HaemorrhagePostpartum Haemorrhage
Search of: Hemorrhage AND postpartum - Results on Map - ClinicalTrials.govSearch of: Hemorrhage AND postpartum - Results on Map - ClinicalTrials.gov
Uterine massage to reduce postpartum hemorrhage after vaginal delivery. - PubMed - NCBIUterine massage to reduce postpartum hemorrhage after vaginal delivery. - PubMed - NCBI
Treatments for secondary postpartum haemorrhage | CochraneTreatments for secondary postpartum haemorrhage | Cochrane
WHO guidelines for the management of postpartum haemorrhage and retained placentaWHO guidelines for the management of postpartum haemorrhage and retained placenta
Postpartum Haemorrhage (PPH) - DrugBankPostpartum Haemorrhage (PPH) - DrugBank
Acute promyelocytic leukaemia presenting as postpartum haemorrhage.Acute promyelocytic leukaemia presenting as postpartum haemorrhage.
Risk Factors for Postpartum Hemorrhage in Vaginal Deliveries... : Obstetrics & GynecologyRisk Factors for Postpartum Hemorrhage in Vaginal Deliveries... : Obstetrics & Gynecology
Sublingual misoprostol for the prevention of postpartum hemorrhage.Sublingual misoprostol for the prevention of postpartum hemorrhage.
https://www.medicalnewstoday.com/releases/317161.phphttps://www.medicalnewstoday.com/releases/317161.php
MSD and Ferring Pharmaceuticals Complete Largest Ever Clinical Trial in Postpartum HaemorrhageMSD and Ferring Pharmaceuticals Complete Largest Ever Clinical Trial in Postpartum Haemorrhage
Managing Major Postpartum Haemorrhage following Acute Uterine Inversion with Rusch Balloon CatheterManaging Major Postpartum Haemorrhage following Acute Uterine Inversion with Rusch Balloon Catheter
Postpartum Haemorrhage, Prevention and Management (Green-top Guideline No. 52)Postpartum Haemorrhage, Prevention and Management (Green-top Guideline No. 52)
Postpartum Hemorrhage - ONAPostpartum Hemorrhage - ONA
Prevention and treatment of postpartum haemorrhage - Metin GülmezogluPrevention and treatment of postpartum haemorrhage - Metin Gülmezoglu
AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaInformation ScienceHealth CareGeographicals
Postpartum HemorrhageUterine InertiaOxytocicsLabor Stage, ThirdMisoprostolPlacenta, RetainedHemorrhageCerebral HemorrhageDelivery, ObstetricMaternal MortalityUterine Balloon TamponadeHome ChildbirthPregnancySubarachnoid HemorrhageObstetric Labor ComplicationsEpisiotomyMethylergonovineMidwiferyErgonovineAdministration, SublingualOxytocinPlacenta PreviaIntracranial HemorrhagesCesarean SectionLabor Stage, SecondPlacenta AccretaHospitals, MaternityUterine Artery EmbolizationPregnancy ComplicationsRetinal HemorrhageMedicine, Tibetan TraditionalEmpty Sella SyndromeObstetricsUterine ArteryLabor, ObstetricEndotamponadeParturitionEclampsiaLabor, InducedUterusBalloon OcclusionPregnancy OutcomeGastrointestinal HemorrhageHypopituitarismSuturesVitreous HemorrhageBlood TransfusionMaternal Health ServicesEye HemorrhagePerineumPakistanFranceHysterectomyBritish ColumbiaPostpartum PeriodEmbolization, TherapeuticRisk FactorsRetrospective StudiesUmbilical CordTreatment OutcomeMorbidity
Post-partum HemMisoprostol for postpartum hemorrhagePrevents post-partum haemorrhageComplicationsPREVENTIONPlacenta previaUterineMaternal mortalityBirthsOxytocinPerinealChildbirthObstetricObstetricsObstructed labourBleedingAtonicSevereCesareanDepressionPotentiallyUrinaryMalariaManagementTreatmentPeriodWomenEfficacyTraumaBirthLaborCareHealthBabyMassive
Post-partum Hem2
Misoprostol for postpartum hemorrhage3
Prevents post-partum haemorrhage1
Complications2
PREVENTION5
Placenta previa1
Uterine3
Maternal mortality4
Births2
  • Community-based distribution of misoprostol to prevent postpartum hemorrhage at home births in rural Ghana. (uic.edu)
  • Choose from either the Standard or Advanced PROMPT Flex before adding on additional modules, allowing you to extend the use for cervical assessment, performing caesarean section births and postpartum hemorrhage (PPH). (laerdal.com)
Oxytocin2
Perineal1
  • The take home messages is that induction of labor will decrease the risk of adverse perinatal outcome, including mortality, without increasing the morbidity risk for the woman including cesarean delivery, perineal laceration grade III-IV and postpartum hemorrhage -- especially in nulliparous women," said lead study author Dr. Marten Alkmark of the University of Gothenburg in Sweden. (medscape.com)
Childbirth3
Obstetric1
  • They assessed a composite primary outcome of perinatal mortality, including stillbirth or neonatal mortality within 28 days of birth, and neonatal morbidity including: five-minute Apgar score below 4, hypoxic ischemic encephalopathy, intracranial hemorrhage, neonatal convulsions, respiratory distress, mechanical ventilation within 72 hours of birth, and obstetric brachial plexus injury. (medscape.com)
Obstetrics1
  • I searched the literature and retrieved an elegant study in Obstetrics and Gynecology which found: 'For third stages of labor more than 10 minutes compared with third stages less than 10 minutes there was twice the risk of postpartum hemorrhage. (midirs.org)
Obstructed labour1
Bleeding3
Atonic1
Severe2
Cesarean2
Depression9
Potentially1
Urinary1
Malaria1
  • Adjuvant invests in companies developing promising new vaccines, therapeutics, diagnostics and medical devices for historically overlooked indications such as malaria, cholera, Lassa fever, and postpartum hemorrhage, with a commitment to make these interventions accessible to those who need them most in low- and middle-income countries. (prnewswire.com)
Management2
Treatment1
Period2
  • Outcomes included a decrease in the postpartum hemorrhage rate and decreased usage of additional uterotonic medications during the immediate recovery period. (lww.com)
  • A partner's experience of birth trauma can often be dismissed in the buzz of the postpartum period. (birthtrauma.org.au)
Women2
Efficacy1
Trauma1
Birth3
Labor2
  • My Labor Day was quite laborless which is a good thing since I was only 1 week postpartum! (amygblog.com)
  • For a third stage of labor more than 20 minutes compared with less than 20 minutes there was four times the risk of postpartum hemorrhage, and for third stages over 30 minutes compared to those less than 30 minutes there was 6 times the risk of PPH. (midirs.org)
Care1
  • PostPartum Care in the Context of a Developing Country by Vicki Penwell In past articles I wrote in this series, I mentioned that while visiting Thailand years ago, I found that they have a charming expression that translates in English to "same same but different" (vendors in the market will say this to you repeatedly as they show you different products in the same basic grouping). (midwiferytoday.com)
Health1
  • But One Heart Worldwide, a maternal health aid group and long-term Direct Relief partner, was asking for something else entirely: misoprostol, a lifesaving drug that's used to stop postpartum hemorrhage, and that plays an essential role in preventing maternal deaths. (reliefweb.int)
Baby1
Massive1
  • 3 g litre, measured early during PPH, is associated with progression to massive haemorrhage, red blood cell (RBC) and fresh frozen plasma (FFP) transfusion, invasive procedures and level 2/3 admission. (journalblog.co.uk)
Data on Pregnancy Complications | Pregnancy | Maternal and Infant Health | CDC
Data on Pregnancy Complications | Pregnancy | Maternal and Infant Health | CDC (cdc.gov)
Postpartum Hemorrhage: Background, Problem, Epidemiology
Postpartum Hemorrhage: Background, Problem, Epidemiology (emedicine.medscape.com)
Labor Complications - FamilyEducation
Labor Complications - FamilyEducation (familyeducation.com)
Pregnancy and Complications
Pregnancy and Complications (medindia.net)
Blood Transfusion Treatment That Promises Anti-Aging Benefits
Blood Transfusion Treatment That Promises Anti-Aging Benefits (medindia.net)
Pregnancy and Complications - Latest News and Research Updates - Page 10
Pregnancy and Complications - Latest News and Research Updates - Page 10 (medindia.net)
Metronidazole - Side effect(s)
Metronidazole - Side effect(s) (medindia.net)
Latest Health News and Research on Diet for Anemia in Pregnancy
Latest Health News and Research on Diet for Anemia in Pregnancy (medindia.net)
Please share your positive stories and tips - Netmums Chat
Please share your positive stories and tips - Netmums Chat (netmums.com)
4 Ways to Recognize Symptoms of a Postpartum Hemorrhage - wikiHow
4 Ways to Recognize Symptoms of a Postpartum Hemorrhage - wikiHow (wikihow.com)
Oxytocin Without Misoprostol Best for Hemorrhage Prevention
Oxytocin Without Misoprostol Best for Hemorrhage Prevention (medscape.com)
Cook Children's Health Library - Postpartum Hemorrhage - Conditions - 223390
Cook Children's Health Library - Postpartum Hemorrhage - Conditions - 223390 (healthlibrary.epnet.com)
Cheap Drug Cuts Maternal Deaths Due to Postpartum Hemorrhage
Cheap Drug Cuts Maternal Deaths Due to Postpartum Hemorrhage (medscape.com)
Prevention of Postpartum Hemorrhage With Tranexamic Acid - Full Text View - ClinicalTrials.gov
Prevention of Postpartum Hemorrhage With Tranexamic Acid - Full Text View - ClinicalTrials.gov (clinicaltrials.gov)
Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency...
Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency... (emedicine.medscape.com)
Midwifery Today
Midwifery Today (midwiferytoday.com)
Issue 105 Archives • Midwifery Today
Issue 105 Archives • Midwifery Today (midwiferytoday.com)
Midwifery News, Research
Midwifery News, Research (news-medical.net)
Safety Pin Suture for Management of Atonic Postpartum Hemorrhage
Safety Pin Suture for Management of Atonic Postpartum Hemorrhage (hindawi.com)
The Doctors Company - YouTube
The Doctors Company - YouTube (youtube.com)
Karen Schneider, Author at Renal and Urology News
Karen Schneider, Author at Renal and Urology News (renalandurologynews.com)
An interprofessional simulation for managing postpartum hemo... : Nursing2019
An interprofessional simulation for managing postpartum hemo... : Nursing2019 (journals.lww.com)
Preventing Postpartum Hemorrhage | Global Health eLearning Center
Preventing Postpartum Hemorrhage | Global Health eLearning Center (globalhealthlearning.org)
Labor and Delivery | Pregnancy Services, New Jersey | Valley Health System
Labor and Delivery | Pregnancy Services, New Jersey | Valley Health System (valleyhealth.com)
June 1947 - Volume 2 - Issue 3 : Obstetrical & Gynecological Survey
June 1947 - Volume 2 - Issue 3 : Obstetrical & Gynecological Survey (journals.lww.com)
Postpartum Haemorrhage
Postpartum Haemorrhage (indiaparenting.com)
HELLP syndrome | Emergency Physicians Monthly
HELLP syndrome | Emergency Physicians Monthly (epmonthly.com)
Effect of extra-amniotic Foley's catheter and vaginal misoprostol versus vaginal misoprostol alone on cervical ripening and...
Effect of extra-amniotic Foley's catheter and vaginal misoprostol versus vaginal misoprostol alone on cervical ripening and... (link.springer.com)
Https://www.medicalnewstoday.com/articles/307082.php
Https://www.medicalnewstoday.com/articles/307082.php (medicalnewstoday.com)