Author/Editor		Assejev, Vladimira; Kavčič, Terezija; Grošelj, Igor
Title		Klinično ukrepanje porodničarja pri poporodni krvavitvi
Type		članek
Source		In: Cerar V, Novak-Antolič Ž, editors. Desetletnica Porodnišnice Ljubljana. Zbornik prispevkov 4. strokovni sestanek; 1997 dec 20; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year		1998
Volume		str. 70-3
Language		slo
Abstract		The contribution describes clinical measures, undertaken by the obstetrician in the case of hemorrhage occurring after delivery of the fetus. The efficiency of these measures depends on the obstetricians preventive, timely and quick acting. It is of utmost importance that the hemorrhage is detected as early as possible, and intensive care procedures applied immediately. On the detection of hemorrhage, the available team of physicians and other personnel should be called to the operating theatre to apply the procedures to stop severe hemorrhage. In labours, with which postpartum atonic hemorrhage may be expected, the uterus should be massaged for at least five minutes, and additional doses of uterotonics should be administered in good time. Atonic hemorrhages that do not stop after oxytocin and methylergometrine administration, prostaglandins (15 methyl PGF2 or PGE2) should be administered as well. The measures for stopping the hemorrhage also include the ligation of pelvic vessels. The ligation of the uterine artery is a relatively simple procedure. With hemorrhages from more localized sites, angiographic embolization may be done. The uterine tamponade is used only rarely, viz. in parturients with generalized venous bleeding associated with coagulopathy, if all other measures applied have proved inefficient.
Descriptors		POSTPARTUM HEMORRHAGE PREGNANCY MASSAGE UTERUS OXYTOCIN METHYLERGONOVINE CARBOPROST LIGATION EMBOLIZATION, THERAPEUTIC INTENSIVE CARE HYSTERECTOMY UTERINE INERTIA