Damage-control resuscitation in obstetrics.

J Matern Fetal Neonatal Med

High Complexity Obstetric Unit, Department of Obstetrics and Gynecology, Fundación Valle del Lili, Cali, Colombia.

Published: February 2022

AI Article Synopsis

  • Severe obstetric hemorrhage is a leading cause of maternal deaths globally, often resulting in serious complications like organ failure and severe bleeding.
  • Traditional methods to stop the bleeding can sometimes worsen the situation, leading to longer surgeries and continued blood loss.
  • Damage-control surgery has shown to be an effective approach, combining surgical interventions with resuscitation techniques to better manage severe cases and reduce mortality rates in critically ill patients.

Article Abstract

Severe obstetric hemorrhage is a catastrophic event and represents the main cause of maternal morbidity and mortality worldwide. The elevated mortality rate due to hemorrhage is associated with metabolic complications and organ hypoperfusion that may trigger a state of irreversible coagulopathy. Thus, the use of conventional measures to control bleeding frequently generates a vicious cycle in which the patient continues bleeding (prolonging surgical times). Damage-control surgery has proven to be feasible and effective in the context of obstetric hemorrhage. It combines surgical and resuscitative measures that generate successful results in the control of refractory bleeding, ultimately decreasing mortality in patients being in critical condition.

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Source
http://dx.doi.org/10.1080/14767058.2020.1730800DOI Listing

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