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Author: Dallas Brewer
Publisher:
ISBN: 9781536140002
Category : Cesarean section
Languages : en
Pages : 0
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Book Description
In this collection, a combined method of preventing and stopping a postpartum obstetric hemorrhage is proposed, involving surgical hemostasis by ligation of the descending branch of the uterine artery and placement of a hemostatic external supraplacental pleated suture, as well as mechanical compression of the uterine cavity with both vaginal and uterine Zhukovsky catheters, and coagulopathy management using thromboelastography (TEG). Uterine hemostatic sutures and their advantages and disadvantages are described in detail, and the benefits of the innovative external supraplacental pleated suture are discussed. Intrauterine balloon tamponade (IUBT) devices have been shown to to be an effective management for severe postpartum hemorrhage (PPH) resulting from uterine atony as well as placental site bleeding. IUBT have now been incorporated into standard protocols for management of severe PPH as a second line conservative surgical procedure due to its simplicity and relatively non-invasive nature. In recent decades, the use of second line procedures has rapidly increased and the effectiveness of these second-line procedures in reducing hysterectomy has been demonstrated in literature. Among these various second line procedures, the use of uterine balloon tamponade increased most rapidly. Balloon tamponade is less invasive and easier to apply than other second line management. Intrauterine balloon tamponade should probably be the first second-line procedure to consider in management of severe PPH. Lastly, the book discusses how anesthesia in pregnant women with rare diseases is challenging. Because of the low occurrence and heterogeneity of these diseases, most anesthesiologists are not familiar with the symptomatology, associated comorbidities, and their consequences for anesthesia. The authors suggest that peroperative monitoring should primarily focus on the cardiopulmonary system, the depth of the neuromuscular block, and the core temperature. Because of the high risk of respiratory depression following general anesthesia in patients with rare diseases, these patients should be closely monitored during the postoperative period, with an emphasis on complete reversal of neuromuscular blockade.
Author: Dallas Brewer
Publisher:
ISBN: 9781536140002
Category : Cesarean section
Languages : en
Pages : 0
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Book Description
In this collection, a combined method of preventing and stopping a postpartum obstetric hemorrhage is proposed, involving surgical hemostasis by ligation of the descending branch of the uterine artery and placement of a hemostatic external supraplacental pleated suture, as well as mechanical compression of the uterine cavity with both vaginal and uterine Zhukovsky catheters, and coagulopathy management using thromboelastography (TEG). Uterine hemostatic sutures and their advantages and disadvantages are described in detail, and the benefits of the innovative external supraplacental pleated suture are discussed. Intrauterine balloon tamponade (IUBT) devices have been shown to to be an effective management for severe postpartum hemorrhage (PPH) resulting from uterine atony as well as placental site bleeding. IUBT have now been incorporated into standard protocols for management of severe PPH as a second line conservative surgical procedure due to its simplicity and relatively non-invasive nature. In recent decades, the use of second line procedures has rapidly increased and the effectiveness of these second-line procedures in reducing hysterectomy has been demonstrated in literature. Among these various second line procedures, the use of uterine balloon tamponade increased most rapidly. Balloon tamponade is less invasive and easier to apply than other second line management. Intrauterine balloon tamponade should probably be the first second-line procedure to consider in management of severe PPH. Lastly, the book discusses how anesthesia in pregnant women with rare diseases is challenging. Because of the low occurrence and heterogeneity of these diseases, most anesthesiologists are not familiar with the symptomatology, associated comorbidities, and their consequences for anesthesia. The authors suggest that peroperative monitoring should primarily focus on the cardiopulmonary system, the depth of the neuromuscular block, and the core temperature. Because of the high risk of respiratory depression following general anesthesia in patients with rare diseases, these patients should be closely monitored during the postoperative period, with an emphasis on complete reversal of neuromuscular blockade.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241598514
Category : Family & Relationships
Languages : en
Pages : 62
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Book Description
Diagnosis of PPH -- Management of atonic PPH -- Management of retained placenta -- Choice of fluid for replacement or resuscitation -- Health systems and organizational interventions -- PPH care pathways -- Research implications -- Plans for local adaptation of the recommendations -- Plans for supporting implementation of these recommendations -- GRADE tables.
Author: Alan H. DeCherney
Publisher: McGraw Hill Professional
ISBN: 0071833919
Category : Medical
Languages : en
Pages : 1086
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Book Description
An up-to-date clinically focused text written to answer even the most difficult obstetrics and gynecology question A Doody’s Core Title for 2021! The single-source OB/GYN resource acclaimed for its currency, comprehensiveness, and strong focus on the practical aspects of clinical diagnosis and patient management Expanded and extensively updated to reflect the latest research and advances – including the concepts of precision medicine Of value to medical students, residents, and practicing physicians who will find this an outstanding guide to the management of common and uncommon conditions Ready-to-apply coverage of more than 1,000 diseases and disorders Strikes the perfect balance between brevity and clinical necessity, delivering exactly the amount of information needed for quick diagnosis, effective treatment, and improved outcomes Strong emphasis on disease prevention and evidence-based medicine Hundreds anatomic drawings, image studies, diagrams, charts, and graphs NEW CHAPTER on Benign Disorders of the Uterine Corpus; Cardiac Disorders in Pregnancy and Pulmonary Disorders in Pregnancy are now two separate chapters for more detailed, focused coverage of these important topics Quick-access design facilities use at the point of care
Author: Raymond W. Redline
Publisher: Cambridge University Press
ISBN: 1316632539
Category : Medical
Languages : en
Pages : 367
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Book Description
A guide to identifying disease processes in the placenta affecting pregnancy outcome, with current diagnostic criteria and clinical consequences.
Author: Sue Pavord
Publisher: Cambridge University Press
ISBN: 1108548377
Category : Medical
Languages : en
Pages : 362
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Book Description
Understand the rapidly growing complexities of obstetric hematology and high-risk pregnancy management, with experts in the field. Now in its second edition, this comprehensive and essential guide focuses on providing the best support for patients and clinical staff, to prevent serious complications in pregnancy and the post-partum period for both mother and baby. Wide-ranging and detailed, the guide offers discussions on basic principles of best care, through to tackling lesser-known hematological conditions, such as cytopenias and hemoglobinopathies. Updated with color illustrations, cutting-edge research, accurate blood film reproductions, and practical case studies, the revised edition places invaluable advice into everyday context. This unique resource is essential reading for trainees and practitioners in obstetrics, anesthesia, and hematology, as well as midwives, nurses, and laboratory staff. Clarifying difficult procedures for disease prevention, the guide ensures safety when the stakes are high. Reflecting current evidence-based guidelines, the updated volume is key to improving pregnancy outcomes worldwide.
Author: World Health Organization
Publisher:
ISBN: 9789241548502
Category : Medical
Languages : en
Pages : 0
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Book Description
Postpartum haemorrhage (PPH) is a major cause of mortality, morbidity and long term disability related to pregnancy and childbirth. Effective interventions to prevent and treat PPH exist and can largely reduce the burden of this life-threatening condition. Given the availability of new scientific evidence related to the prevention and treatment of PPH, this document updates previous WHO recommendations and adds new recommendations for the prevention and treatment of PPH. The primary goal of this guideline is to provide a foundation for the implementation of interventions shown to have been effective in reducing the burden of PPH. Health professionals responsible for developing national and local health policies constitute the main target audience of this document. Obstetricians, midwives, general medical practitioners, health care managers and public health policy-makers, particularly in under-resourced settings are also targeted. This document establishes general principles of PPH care and it is intended to inform the development of clinical protocols and health policies related to PPH.
Author: Stephen D. Ratcliffe
Publisher: Elsevier Health Sciences
ISBN: 0323070825
Category : Medical
Languages : en
Pages : 734
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Book Description
Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family. Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding. Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion. A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text. A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting. A new section details which immunizations can be used safely during pregnancy. A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.
Author: Sabaratnam Arulkumaran
Publisher:
ISBN: 9780955228278
Category : Labor (Obstetrics)
Languages : en
Pages : 0
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Book Description
With over 120 expert contributors drawn from centres of excellence around the world, this comprehensive textbook provides physicians with detailed practical guidance for the management of postpartum hemorrhage.
Author: Marc van de Velde
Publisher: Cambridge University Press
ISBN: 1107018498
Category : Health & Fitness
Languages : en
Pages : 503
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Book Description
Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.
Author: World Health Organization
Publisher:
ISBN:
Category :
Languages : en
Pages : 43
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Book Description
The primary goal of this guideline is to provide a foundation for the implementation of interventions shown to have been effective in reducing the burden of PPH (postpartum haemorrhage). Health professionals responsible for developing national and local health policies constitute the main target audience of this document. Obstetricians, midwives, general medical practitioners, health care managers and public health policy-makers, particularly in under-resourced settings are also targeted. This document establishes general principles of PPH care and it is intended to inform the development of clinical protocols and health policies related to PPH.
