OJOG  Vol.3 No.7 , September 2013
Evaluation of process management of postpartum hemorrhage due to uterine atony
ABSTRACT

Objective: To evaluate the management process and the guidelines for management of postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum hemorrhage due to uterine atony with an estimated blood loss of more than 800 mL, in which standardized guidelines were obtained. We included all women who gave birth at the General Hospital of Vienna, the Medical University Vienna, during the period from January 1st 2003 and December 31st 2009 and who suffered blood loss 800 mL at minimum due to uterine atony. Results: The guidelines were in use for 14% - 71%. The average blood loss of the 24 cases with uterine atony was 1342 mL. Conclusion: The management process of postpartum hemorrhage due to uterine atony deviates from the hospital’s guidelines in many cases.


Cite this paper
Holzer, I. and Lehner, R. (2013) Evaluation of process management of postpartum hemorrhage due to uterine atony. Open Journal of Obstetrics and Gynecology, 3, 514-519. doi: 10.4236/ojog.2013.37093.
References
[1]   Ramanathan, G. and Arulkumaran, S. (2006) Postpartum hemorrhage. Journal of Obstetrics and Gynaecology Canada: JOGC, 28, 967-973.

[2]   Jansen, A.J., van Rhenen, D.J., Steegers, E.A. and Duvekot, J.J. (2005) Postpartum hemorrhage and transfusion of blood and blood components. Obstetrical & Gynecological Survey, 60, 663-671. doi:10.1097/01.ogx.0000180909.31293.cf

[3]   Varner, M. (1991) Postpartum hemorrhage. Critical Care Clinics, 7, 883-897.

[4]   Anderson, J.M. and Etches, D. (2007) Prevention and management of postpartum hemorrhage. American Family Physician, 75, 875-882.

[5]   Soltan, M.H., Faragallah, M.F., Mosabah, M.H. and AlAdawy, A.R. (2009) External aortic compression device: The first aid for postpartum hemorrhage control. The Journal of Obstetrics and Gynaecology Research, 35, 453-458. doi:10.1111/j.1447-0756.2008.00975.x

[6]   Roethlisberger, M., Womastek, I., Posch, M., Husslein, P., Pateisky, N. and Lehner, R. (2010) Early postpartum hysterectomy: Incidence and risk factors. Acta Obstetricia et Gynecologica Scandinavica, 89, 1040-1044. doi:10.3109/00016349.2010.499445

[7]   Bouma, L.S., Bolte, A.C. and van Geijn, H.P. (2008) Use of recombinant activated factor VII in massive postpartum haemorrhage. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 137, 172-177. doi:10.1016/j.ejogrb.2007.06.022

[8]   Sheikh, L., Zuberi, N.F., Riaz, R. and Rizvi, J.H. (2006) Massive primary postpartum haemorrhage: Setting up standards of care. The Journal of the Pakistan Medical Association (JPMA), 56, 26-31.

[9]   Lain, S.J., Roberts, C.L., Hadfield, R.M., Bell, J.C. and Morris, J.M. (2008) How accurate is the reporting of obstetric haemorrhage in hospital discharge data? A validation study. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 48, 481-484. doi:10.1111/j.1479-828X.2008.00910.x

[10]   Markova, V., Sorensen, J.L., Holm, C., Norgaard, A. and Langhoff-Roos, J. (2012) Evaluation of multi-professional obstetric skills training for postpartum hemorrhage. Acta Obstetricia et Gynecologica Scandinavica, 91, 346-352.

[11]   Hjortdahl, M., Ringen, A.H., Naess, A.C. and Wisborg, T. (2009) Leadership is the essential non-technical skill in the trauma team—Results of a qualitative study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 17, 48.

[12]   Georgiou, A. and Lockey, D.J. (2010) The performance and assessment of hospital trauma teams. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 18, 66.

[13]   Cooper, S. (2001) Developing leaders for advanced life support: Evaluation of a training programme. Resuscitation, 49, 33-38. doi:10.1016/S0300-9572(00)00345-2

 
 
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