CEU: Prevention and Treatment of Postpartum Hemorrhage: New Advances for Low-Resource Settings
| Autor: | Paul A. Hensleigh, Felicia Lester, Suellen Miller |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Pregnancy Trimester Third Pregnancy High-Risk medicine.medical_treatment Developing country Midwifery Oxytocin Pregnancy Oxytocics Hypovolemia Maternity and Midwifery medicine Humans Maternal Health Services Embolization Intensive care medicine Developing Countries Maternal Welfare Misoprostol Home Childbirth business.industry Postpartum Hemorrhage Infant Newborn Pregnancy Outcome Obstetrics and Gynecology medicine.disease Embolization Therapeutic Uterine atony Maternal Mortality Nursing Education Research Female medicine.symptom business Developed country Fluid replacement medicine.drug |
| Zdroj: | Journal of Midwifery & Women's Health. 49:283-292 |
| ISSN: | 1526-9523 |
| DOI: | 10.1016/j.jmwh.2004.04.001 |
| Popis: | Postpartum hemorrhage due to uterine atony is the primary direct cause of maternal mortality globally. Management strategies in developed countries involve crystalloid fluid replacement, blood transfusions, and surgery. These definitive therapies are often not accessible in developing countries. Long transports from home or primary health care facilities, a dearth of skilled providers, and lack of intravenous fluids and/or a safe blood supply often create long delays in instituting appropriate treatment. We review the evidence for active management of third-stage labor and for the use of specific uterotonics. New strategies to prevent and manage postpartum hemorrhage in developing countries, such as community-based use of misoprostol, oxytocin in the Uniject delivery system, the non-inflatable antishock garment to stabilize and resuscitate hypovolemic shock, and the balloon condom catheter to treat intractable uterine bleeding are reviewed. New directions for clinical and operations research are suggested. |
| Databáze: | OpenAIRE |
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