Liberth Maureen, Gordon Miriam
AORN J. 2019 Aug;110(2):134-144. doi: 10.1002/aorn.12755.
Postpartum hemorrhage (PPH) is a serious complication of giving birth that can result in death. Interventional radiology allows for the use of uterine artery embolization and transcatheter arterial embolization to prevent and treat PPH. These procedures are minimally invasive options that use the uterine or internal iliac arteries to place either a balloon or embolic material to stop the bleeding. These techniques also can be used as a preventive treatment for women with known placental abnormalities who are at an increased risk of hemorrhaging. This article discusses causes, early recognition, and treatment of PPH. It also discusses nursing care for patients with PPH and presents a case report describing the use of interventional radiology before cesarean delivery for a patient with placenta accreta.
产后出血（PPH）是分娩时的一种严重并发症，可导致死亡。介入放射学可采用子宫动脉栓塞术和经导管动脉栓塞术来预防和治疗产后出血。这些手术是微创选择，利用子宫动脉或髂内动脉放置球囊或栓塞材料来止血。这些技术也可用于对已知胎盘异常且出血风险增加的女性进行预防性治疗。本文讨论了产后出血的原因、早期识别和治疗。还讨论了产后出血患者的护理，并呈现了一例病例报告，描述了对于一名胎盘植入患者在剖宫产术前使用介入放射学的情况。
