美国ACOG产后大出血治疗策略PostPartumHemorrhage.pptxVIP

会计学1美国ACOG产后大出血治疗策略PostPartumHemorrhage Post Partum Hemorrhage - DefinitionCommonly defined as….SVD 500cc blood lossC/S 1000cc blood loss*PPH generally refers to GA 20wks 第1页/共33页 Other DefinitionsHematocrit Change – defined as change 10% but not useful in acute settingNeed for Transfusion – variable practiceHemodynamic stabilityTiming – early or lateSymptomatic第2页/共33页 RelevanceOne of top five causes of maternal mortality anywhere#1 cause maternal mortality worldwideDeveloped countries 1/100 000 births compared to 1/1000 births in developing countriesIncidence 5% - 10% deliveries (depends