Obstetric Hemorrhage

  • Alejandra Garcia Fernandez
  • Mary Jane ReedEmail author


The majority of deliveries occur without complication under the care of an obstetrical team. Maternal hemorrhage remains the leading cause of maternal mortality worldwide resulting in 1 death every 7 min (Say et al. Lancet Glob Health 2:e323–33, 2014). In the US, maternal hemorrhage has increased in the past 20 years, but mortality from postpartum obstetric hemorrhage has decreased in the past 30 years. This is likely related to early recognition and improved management. In postpartum women, the signs and symptoms of blood loss often do not present until substantial bleeding has occurred (Pacagnella et al. PLoS One 8(6), 2013). Therefore, all personnel involved in the care of peripartum and postpartum women should be trained in early recognition and management of this complication to avoid morbidity and mortality in this population.


Postpartum hemorrhage Pregnancy Blood loss Transfusion Uterine atony Lacerations Retained placenta Defects in coagulation Uterotonics Tranexamic acid Arterial ligation Arterial embolization Hysterectomy 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Critical Care Medicine FellowGeisinger Medical CenterDanvilleUSA
  2. 2.Critical Care MedicineGeisinger Medical CenterDanvilleUSA

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