(Anesth Analg. 2015;121(1):142–48) This consensus bundle compiles a selection of guidelines and recommendations for best clinical practices regarding obstetric hemorrhage. The consensus bundle on obstetric hemorrhage was developed by a workgroup of the Partnership for Maternal Safety within the Council on Patient Safety in Women’s Health Care, and represents all major women’s health care professional organizations. The goal of the partnership is implementation of the safety bundle in every birthing facility in the United States. As it is unlikely that many hospitals will have all of the elements of the consensus bundle in place, it is intended to serve as a checklist from which to work. The consensus bundle is divided into 4 action domains—readiness, recognition and prevention, response, and reporting and systems learning—and encompasses 13 key elements within these domains.

Uterine Pathology Uterine Anomalies Congenital anomalies (See section on Mullerian duct anomalies) DES exposure:  " T "-shaped uterus  Constricting bands within the uterine cavity  Hypoplastic uterus  Intrauterine polypoid defects and synechiae. Synechiae are adhesions found within the uterine cavity. Acquired anomalies A s h e r ma n ' s s y n d r o me : o b l i t e r a t i o n o f t h e e n d o me t r i a l c a v i t y a s a r e s u l t of excessive or traumatic uterine instrumentation. Endometrial tissue is replaced with collagen resulting in development of uterine adhesions or synechiae. Clinical presentation: amenorrhea or hypomenorrhea; infertility; recurrent spontaneous abortions. Benign Disorders of the Uterus Pyometra and hematometra: pus and/or blood filling the uterine cavity. Conditions are typically associated with outflow obstruction of the genital tract such as cervical or vaginal atresia, acquired cervical stenosis, imperforate hymen; and transverse vaginal septum. Clinical presentation: primary amenorrhea; dysmenorrhea; endometriosis, infertility. Endometritis: an inflammatory reaction of the endometrium. May be acute or chronic. Most common causes include: STD infections; instrumentation procedures that introduce organisms into the endometrial cavity.

No abstract

No abstract

No abstract