Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario

Postpartum hemorrhage (PPH) is the leading cause of preventable maternal mortality and morbidity. Women undergoing cesarean delivery are at increased risk of PPH as compared to vaginal delivery. Improvement in obstetric care and advances in diagnostic modalities have empowered obstetricians to detec...

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Main Authors: Savita Choudhary, Sunanda Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:The Indian Anaesthetists' Forum
Subjects:
Online Access:http://www.theiaforum.org/article.asp?issn=2589-7934;year=2021;volume=22;issue=1;spage=11;epage=16;aulast=Choudhary
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author Savita Choudhary
Sunanda Gupta
author_facet Savita Choudhary
Sunanda Gupta
author_sort Savita Choudhary
collection DOAJ
description Postpartum hemorrhage (PPH) is the leading cause of preventable maternal mortality and morbidity. Women undergoing cesarean delivery are at increased risk of PPH as compared to vaginal delivery. Improvement in obstetric care and advances in diagnostic modalities have empowered obstetricians to detect, predict, and therefore prevent catastrophic uterine bleeding. Patients at increased risk for PPH should be referred to tertiary care centers equipped with interventional radiology suite, where multidisciplinary teams are available 24 h and are prepared to deal with potential complications. This review highlights the management of PPH with special emphasis on interventional radiology procedures for the prevention of PPH. Minimally invasive interventional radiological techniques such as selective arterial embolization and arterial balloon occlusion have been effectively used to avert hysterectomy and reduce the overall incidence of blood transfusion and its associated complications while preserving reproductive functions.
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spelling doaj.art-bfa031c17c814c5da210aa78332c093d2022-12-21T23:45:11ZengWolters Kluwer Medknow PublicationsThe Indian Anaesthetists' Forum0973-03112021-01-01221111610.4103/TheIAForum.TheIAForum_76_20Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenarioSavita ChoudharySunanda GuptaPostpartum hemorrhage (PPH) is the leading cause of preventable maternal mortality and morbidity. Women undergoing cesarean delivery are at increased risk of PPH as compared to vaginal delivery. Improvement in obstetric care and advances in diagnostic modalities have empowered obstetricians to detect, predict, and therefore prevent catastrophic uterine bleeding. Patients at increased risk for PPH should be referred to tertiary care centers equipped with interventional radiology suite, where multidisciplinary teams are available 24 h and are prepared to deal with potential complications. This review highlights the management of PPH with special emphasis on interventional radiology procedures for the prevention of PPH. Minimally invasive interventional radiological techniques such as selective arterial embolization and arterial balloon occlusion have been effectively used to avert hysterectomy and reduce the overall incidence of blood transfusion and its associated complications while preserving reproductive functions.http://www.theiaforum.org/article.asp?issn=2589-7934;year=2021;volume=22;issue=1;spage=11;epage=16;aulast=Choudharyinterventional radiologypostpartum hemorrhageprophylactic
spellingShingle Savita Choudhary
Sunanda Gupta
Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
The Indian Anaesthetists' Forum
interventional radiology
postpartum hemorrhage
prophylactic
title Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
title_full Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
title_fullStr Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
title_full_unstemmed Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
title_short Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
title_sort prophylactic interventional radiological procedures in postpartum hemorrhage the present scenario
topic interventional radiology
postpartum hemorrhage
prophylactic
url http://www.theiaforum.org/article.asp?issn=2589-7934;year=2021;volume=22;issue=1;spage=11;epage=16;aulast=Choudhary
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AT sunandagupta prophylacticinterventionalradiologicalproceduresinpostpartumhemorrhagethepresentscenario