Suggested Interdisciplinary Approach for Managing Postpartum Haemorrhage Caused by Uterine Atony-A Call for Updated Guidelines

Postpartum Hemorrhage (PPH) is a significant cause of maternal morbidity and mortality, often exacerbated by inadequate adherence to established guidelines. This article examines the critical role of uterine atony and explores the impact of factors such as inaccurate blood loss estimation and hematological complications. It critiques the existing clinical guidelines for insufficiently addressing the role of hematologists and proposes the integration of early assessment techniques, including viscoelastic hemostatic assays and targeted fibrinogen replacement, to more effectively manage coagulopathy. The article also highlights recent advancements, such as the Alma device, and advocates for a multidisciplinary approach that includes both obstetricians and hematologists to enhance PPH management and improve patient outcomes.

Authors

Publication Details

Journal
Archives of Hematology Case Reports and Reviews
Published
2024-09-13
DOI
https://doi.org/10.17352/ahcrr.000045
Primary Topic
Maternal and fetal healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Suggested Interdisciplinary Approach for Managing Postpartum Haemorrhage Caused by Uterine Atony-A Call for Updated Guidelines

Michael Stark, Dach Itamar, Weichselbaum Amnon
Archives of Hematology Case Reports and Reviews
Maternal and fetal healthcare
article

Suggested Interdisciplinary Approach for Managing Postpartum Haemorrhage Caused by Uterine Atony-A Call for Updated Guidelines

Michael Stark, Dach Itamar, Weichselbaum Amnon
article en

Abstract

Postpartum Hemorrhage (PPH) is a significant cause of maternal morbidity and mortality, often exacerbated by inadequate adherence to established guidelines. This article examines the critical role of uterine atony and explores the impact of factors such as inaccurate blood loss estimation and hematological complications. It critiques the existing clinical guidelines for insufficiently addressing the role of hematologists and proposes the integration of early assessment techniques, including viscoelastic hemostatic assays and targeted fibrinogen replacement, to more effectively manage coagulopathy. The article also highlights recent advancements, such as the Alma device, and advocates for a multidisciplinary approach that includes both obstetricians and hematologists to enhance PPH management and improve patient outcomes.

Archives of Hematology Case Reports and ReviewsVol. 9(1)
Openalex Percentile: Top 75%
Maternal and fetal healthcare
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