1. Surgical management of postpartum hemorrhage.
- Author
-
Gilmandyar D and Thornburg LL
- Subjects
- Female, Guidelines as Topic, Humans, Organ Sparing Treatments, Patient Selection, Pregnancy, Fertility Preservation methods, Hysterectomy methods, Postpartum Hemorrhage surgery, Uterine Artery Embolization methods, Uterus surgery
- Abstract
When medical management of PPH is unsuccessful, surgical options should be utilized in a timely fashion in order to reduce maternal morbidity and mortality. This chapter describes ways of effective preparation, mobilization of resources and an organized approach to evaluation and surgical amelioration of PPH. Multiple fertility preserving surgical techniques to control PPH are described. Although a variety of conservative surgical approaches can be used in the setting of PPH, in a hemodynamically unstable patient, readiness for definitive management with a hysterectomy is necessary in order to reduce the risk of maternal mortality., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2019
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