Major obstetric haemorrhage

Abstract

• Management of MOH requires a multidisciplinary team approach which should be practiced regularly.

Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines

“…Early administration, within 3 hours of injury, is required in order to maximise benefits and avoid potential harm; therefore, prehospital services play a crucial role in its administration. Evidence has demonstrated that TXA is effective in obstetric haemorrhage; however, clinical safety is yet to be proven56 57 [IV].…”

Obstetric Hemorrhage, its role in maternal morbidity and mortality and the importance of its diagnosis, prevention and timely management

“…25,26 Below, there is the description of the main causes of Obstetric Hemorrhage (see Table 2). 27,28 Early puerperal hemorrhage due to lack of uterine contraction.…”

“…17,21 Ergometrine maleate: 0.2 mg IM and reevaluate at 10 minutes. 28 Carbetocin: 100 µg, IV after release of receptors with 200 mL of physiological solution to continuous infusion for 5 to 6 minutes. 27,28 Misoprostol: 800 to 1000 µg, rectally.…”

“…(recommendation-c). 28 Trenexamic acid: it has been suggested in the case of refractory atony or persistent bleeding secondary to genital trauma. When trenexamic acid is used (dose of 1g IV), studies indicate that it is a good medicine that together with oxytocin have proven useful as prevention and treatment.…”

“…When trenexamic acid is used (dose of 1g IV), studies indicate that it is a good medicine that together with oxytocin have proven useful as prevention and treatment. 28 Another important point is thromboprophylaxis. Whether it is mechanical (compression stockings or intermittent compression) or pharmacological (heparin) for 7-14 days post-partum depending on the risk, there is a scale called Caprini modified that helps select candidates for thromboprophylaxis.…”