Anesthesiologic management of major obstetrical hemorrhage

摘要: Abstract Postpartum hemorrhage (PPH) remains a considerable burden on maternal morbidity and mortality, accounting for 80% of severe morbidity. Although consensus definitions major obstetrical bleeding is lacking, postpartum blood losses greater than 500 ml after vaginal delivery 1000 ml cesarean section considered as hemorrhage; loss 2500 ml hemorrhage. The definition (MOH) broader term characterizing antenatal or postpartal bleeding. Approximately only 10% MOH predictable, etiologies risk factors leading to are still poorly understood. This lack predictability may result in delays initiation proper anesthesiologic management MOH. quantity loss, combined the rapidity which happens case an important challenge teams otherwise usually face vascular trauma surgery. Preservation fertility one aims neonatal resuscitation has been granted. Drugs used increase uterine tone reviewed detail, well surgical measures available today. Fortunately lessons learned from have implemented protocols. Not being primary aim keep sight, preservation whenever possible next anesthesiologists facing.