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• W2462230900 endingPage "82" @default.
• W2462230900 startingPage "68" @default.
• W2462230900 abstract "Prevention of deaths from obstetric haemorrhage requires effective health systems including family planning, commodities, personnel, infrastructure and ultimately universal access to comprehensive obstetric care for women giving birth. The main causes of death associated with antepartum haemorrhage are placental abruption, placenta praevia and uterine rupture. Preventive measures include preconceptual folate supplementation, management of hypertensive disorders, early diagnosis of placenta praevia and use of uterine stimulants cautiously, particularly misoprostol. Preventive measures for post-partum haemorrhage include routine active management of the third stage of labour. Treatment involves a cascade of increasingly invasive interventions in rapid sequence until the bleeding is stopped. These interventions include fluid resuscitation, removal of the placenta, bimanual uterine compression, uterotonics, tranexamic acid, suturing of lower genital tract injury, blood product replacement, balloon tamponade, laparotomy, stepwise uterine devascularization, uterine compression sutures and hysterectomy. Emergency temporizing measures include application of the non-pneumatic anti-shock garment, and at laparotomy, aortic compression and uterine tourniquet application. The effectiveness of treatment methods and the optimal dosage of misoprostol are research priorities. Interesting new approaches include transvaginal uterine artery clamping and suction uterine tamponade." @default.
• W2462230900 created "2016-07-22" @default.
• W2462230900 creator A5057792383 @default.
• W2462230900 creator A5088116355 @default.
• W2462230900 date "2016-10-01" @default.
• W2462230900 modified "2023-10-07" @default.
• W2462230900 title "Preventing deaths due to haemorrhage" @default.
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• W2462230900 doi "https://doi.org/10.1016/j.bpobgyn.2016.05.004" @default.
• W2462230900 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27450867" @default.
• W2462230900 hasPublicationYear "2016" @default.
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