Emergent management of postpartum hemorrhage for the general and acute care surgeon

<p>Abstract</p> <p>Background</p> <p>Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a pau...

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Bibliographic Details
Main Authors: Blankenship Charles L, Chernofsky Mildred R, Sheppard Forest R, Weisbrod Allison B, Gage Frederick, Wind Gary, Elster Eric A, Liston William A
Format: Article
Language:English
Published: BMC 2009-11-01
Series:World Journal of Emergency Surgery
Online Access:http://www.wjes.org/content/4/1/43
Description
Summary:<p>Abstract</p> <p>Background</p> <p>Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and is omitted nearly completely from general and acute care surgery literature and continuing medical education.</p> <p>Methods</p> <p>The purpose of this manuscript is to serve as a topic specific review for surgeons and to present a surgeon oriented management algorithm. Medline and Ovid databases were utilized in a comprehensive literature review regarding the management of postpartum hemorrhage and a management algorithm for surgeons developed based upon a collaborative panel of general, acute care, trauma and obstetrical surgeons' review of the literature and expert opinion.</p> <p>Results</p> <p>A stepwise approach for surgeons of the medical and surgical interventions utilized to manage and treat postpartum hemorrhage is presented and organized into a basic algorithm.</p> <p>Conclusion</p> <p>The manuscript should promote and facilitate a more educated, systematic and effective surgeon response and participation in the management of postpartum hemorrhage.</p>
ISSN:1749-7922