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POSTPARTUM HEMORRHAGE;2005 Maternal Mortality(1/100000);INCIDENCE;DEFINITION;ETIOLOGY – 4 “T”;1.Uterine Atony;Dual Blood Supply;Myometrium has not contracted
to cut off the uterine spiral arteries
that are supplying the placental bed.
;Diagnosis;2.Retained Placental TISSUE;Diagnosis;Placenta increta;3.Laceration of Genital Tract;Pathology;Diagnosis;Vulva laceration;Vaginal hematoma;4. Coagulation defects;Diagnosis;PROGNOPSIS;Key-point to diagnosis:Estimate of Blood Loss;Evaluation of Blood Loss;TREATMENT PROCESS;Primary(Blood loss>400ml);Secondary(500~1500ml);Uterine Atony -- Massage;Tone -- Uterotonic agents;;;;;Tissue – dilation curettage;Tissue – Placenta Accreta(胎盘植入);Thrombin -Transfusion;Coagulation factors ; Tertiary Management;Artery ligation;Arterial Embolization ;;休克抢救流程-REACT;2013 WHO recommendations;Prevention — Prenatal Evaluation;;Prevention — Management of labor process;Prevention — Intense observation after birth;SUMMARY;THANKS
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