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Title of the item:

Surgical management of postpartum hemorrhage.

Title :
Surgical management of postpartum hemorrhage.
Authors :
Gilmandyar D; Hackensack Meridian School of Medicine, Seton Hall University, 400 South Orange Ave, South Orange, NJ 07079, United States.
Thornburg LL; Associate professor Ob/Gyn, James R. Woods, Jr. Professor of Obstetrics & Gynecology, University of Rochester Medical Center, 601 Elmwood Ave. Box 668, Rochester, NY 14624, United States. Electronic address: .
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Source :
Seminars in perinatology [Semin Perinatol] 2019 Feb; Vol. 43 (1), pp. 27-34. Date of Electronic Publication: 2018 Nov 14.
Publication Type :
Journal Article; Review
Language :
English
Imprint Name(s) :
Publication: Philadelphia, PA : W.B. Saunders
Original Publication: New York, Grune & Stratton.
MeSH Terms :
Fertility Preservation/*methods
Hysterectomy/*methods
Postpartum Hemorrhage/*surgery
Uterine Artery Embolization/*methods
Uterus/*surgery
Female ; Guidelines as Topic ; Humans ; Organ Sparing Treatments ; Patient Selection ; Pregnancy
Contributed Indexing :
Keywords: Hemorrhage; Surgical; hysterectomy; laceration; postpartum; repair
Entry Date(s) :
Date Created: 20181223 Date Completed: 20191220 Latest Revision: 20191220
Update Code :
20220301
DOI :
10.1053/j.semperi.2018.11.006
PMID :
30578144
Academic Journal
When medical management of PPH is unsuccessful, surgical options should be utilized in a timely fashion in order to reduce maternal morbidity and mortality. This chapter describes ways of effective preparation, mobilization of resources and an organized approach to evaluation and surgical amelioration of PPH. Multiple fertility preserving surgical techniques to control PPH are described. Although a variety of conservative surgical approaches can be used in the setting of PPH, in a hemodynamically unstable patient, readiness for definitive management with a hysterectomy is necessary in order to reduce the risk of maternal mortality.
(Copyright © 2018 Elsevier Inc. All rights reserved.)

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