Massive bleeding in obstetrics. Strategies for treatment
DOI:
https://doi.org/10.35954/SM2017.36.2.7Keywords:
Anesthesia; Hemorrhage; Postpartum Hemorrhage; Placenta previa; Blood TransfusionAbstract
The expected blood loss is up to 500 ml in natural childbirth and 1000 ml in cesarean delivery. Massive blood loss in obstetrics is that which requires transfusion of blood products, the need for hysterectomy or other emergency procedures such as vascular ligation to stop blood loss and is a major cause of morbidity and mortality.
such as vascular ligation to stop blood loss and is an important cause of morbidity and mortality in the mother-child pair.
We describe the clinical case of a pregnant woman with placenta previa, who underwent cesarean section and presented bleeding in two stages. In the first stage, surgical control of tissue damage was performed and in the second stage the patient had to be stabilized and resuscitated before surgical hemostasis was performed.
We marked the differences in the repositioning strategy in relation to the type of hemorrhage. We analyzed the factors favoring bleeding and the importance of communication to achieve a good maternal and fetal outcome.
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