Clinical Concepts in Obstetrics, 101 Creekside Crossing, Suite 1700-136, Brentwood, TN 37027, USA.
Clinical Concepts in Obstetrics, 101 Creekside Crossing, Suite 1700-136, Brentwood, TN 37027, USA.
Obstet Gynecol Clin North Am. 2021 Mar;48(1):151-171. doi: 10.1016/j.ogc.2020.11.001.
Hemorrhage remains a leading cause of preventable maternal morbidity and mortality worldwide and in the United States. Postpartum hemorrhage is the number one cause of severe morbidity during hospitalization for birth, despite hospital, state, and national initiatives. In addition, studies show that more than 90% of maternal deaths related to obstetric hemorrhage are preventable. This article reviews relevant physiologic changes of pregnancy that may have an impact on hemorrhage management and describes collaborative approaches for management of hemorrhage in this unique population.
出血仍然是全世界和美国可预防的产妇发病率和死亡率的主要原因。尽管医院、州和国家都采取了措施，但产后出血仍然是分娩住院期间严重发病率的首要原因。此外，研究表明，90%以上与产科出血相关的产妇死亡是可以预防的。本文回顾了妊娠期间可能对出血管理产生影响的相关生理变化，并描述了针对这一特殊人群出血管理的协作方法。
