Christopher Robinson: Management of Immediate and Delayed PPH with Cesarean Delivery
Christopher Robinson, Associate Professor Maternal Fetal Medicine at University of South Carolina, shared a post on LinkedIn:
“AJOG Expert Review in Cesarean: Management of immediate and delayed postpartum hemorrhage with cesarean delivery – Proposed management algorithm for delayed PPH after cesarean delivery (postoperative)
∗CT scan may be considered to guide the surgical exploration when there is no plausible cause of the blood loss or of the woman’s worsening condition. However, the CT scan should not unduly delay the relaparotomy. The dotted lines represent therapeutic choices that are not considered to be the safest options and should be discussed carefully before choosing. Blue box refers to obstetric and surgical management. Green box refers to anesthesiology-critical care team management.
IU, international units; IV, intravenous; PPH, postpartum hemorrhage; rFVIIa, recombinant activated factor VII; SI, shock index.”
Title: Management of immediate and delayed postpartum hemorrhage with cesarean delivery
Authors: Hugo Madar, Alizée Froeliger, Gilles Kayem, Hanane Bouchghoul, Loïc Sentilhes
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