POSTPARTUM HEMORRHAGE: UPDATES ON THERAPEUTIC MANAGEMENT AND PREVENTION
DOI:
https://doi.org/10.47820/recima21.v4i3.2877Keywords:
Clinical management, Postpartum hemorrhage, Prevention, ProphylaxisAbstract
The concept of postpartum hemorrhage (PPH) involves the loss of 1,000 ml or more of blood content during a period of no more than 24 hours after the end of labor. In the obstetric scenario, bleeding is one of the main causes of maternal death and morbidity. Thus, PPH presents itself as a global health problem, and the question is essential: what are the main therapeutic and prophylactic measures against postpartum hemorrhage? This research is an integrative, qualitative literature review. To compose the study 16 articles were selected, after careful analysis. In relation to the results, the current research evidenced that the therapeutic measures in the initial stages of PPH are pharmacological. The persistence of bleeding after drug therapy requires the addition of non-surgical measures, such as bimanual uterine massage. If these treatments fail, surgical treatment is considered immediately. In addition, massive transfusion is also a therapeutic option in critical resuscitative conditions in response to postpartum bleeding. Regarding preventive measures for PPH, prophylactic oxytocin is recommended if clinically suspected. Moreover, the training of health professionals and the preparation of institutions that assist pregnant women in labor are crucial for prevention and care in the face of this scenario. Therefore, we conclude that it is essential to evaluate the risk factors associated with PPH, implementing appropriate preventive and therapeutic measures in order to avoid unfavorable maternal outcomes.
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