Maternal Hemorrhage is the leading cause of maternal death worldwide and remains number one in New York State. It is preventable and involves antepartum, intrapartum and postpartum bleeding.
Causes of Maternal Hemorrhage(health.ny.gov)
- Uterine Atony (loss of tone where contraction of uterine muscles is compressed and blow flow is reduced- coagulation)
- Lacerations to the cervix and genital tract
- Coagulation disorders
- Retained placenta and other placental abnormalities
Prevention of Maternal Hemorrhage be vigilant to blood loss, if clinical judgement indicates transfusion, do not hesitate awaiting lab results due to sign of hemodynamic instability
- Work with Labor and Delivery on Maternal Hemorrhage Drills
- Use fluid resuscitation and transfusion depending on blood loss and expectation of bleeding
- Conduct continuing Medical Education for the entire medical team
On the other hand, once proper liaison is done among obstetrics, nursing, anesthesia and neonatology, the mother and baby will be safe. It is pertinent that expecting mothers and mothers at large carrying a pregnancy beyond 20 weeks’ pay key attention as they are at potential risk.
Written By: Sasha-Lee Moodie-Edmondson
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