Database - (CIANE) | |
Description of this bibliographical database (CIANE website) |
https://ciane.net/id=1926 | ➡ Modify this record |
Bibliographical entry (without author) : | [Risk factors of postpartum hemorrhage during labor and clinical and pharmacological prevention]. {Review,guideline}. J Gynecol Obstet Biol Reprod (Paris). 2004 Dec;33(8 Suppl):4S29-4S56. |
Author(s) : | Tessier V, Pierre F; CNGOF; HAS. |
Year of publication : | 2004 |
URL(s) : | |
Résumé (français) : |
|
Abstract (English) : | Prevention of postpartum hemorrhage (PPH) is a major concern in regards to its impact on maternal morbidity and mortality. While established risk factors can be identified among risk factors of PPH during labor after multivariate analysis: prolonged labor, oxytocin stimulation of labor, cesarean section, instrumental delivery, genital lacerations and episiotomy, prolonged third stage of labor, retained placenta; other risk factors are still uncertain: induction of labor, hyperthermia or chorioamniotitis, analgesia or anesthesia, macrosomia, various cesarean section techniques. Isolated identified risk factors have a moderate incidence on PPH, but their cumulation in one patient is a potential high risk. Among active management schemes of third stage of labor for PPH prevention, the most efficient technique seems to be direct injection of oxytocin when the baby’s shoulders are delivered, associated with controlled cord traction. If this technique is a must for high-risk patients for PPH, and seems efficient for every patient, a correctly performed procedure requires the presence of a competent professional in addition to the midwife or obstetrician in charge of delivery, and a permanent attention so the length of third stage of labor is shortened. The alternative use of prophylactic misoprostol in the third stage of labor is less effective than injectable uterotonics in reducing PPH, and is associated with more side effects (severe shivering, pyrexia, diarrhea). None of other described prophylactic methods have proved efficiency: early suckling, umbilical blood drainage, oxytocin umbilical vein injection, among others. A decrease in PPH prevalence should be obtained by particular attention on data from the early postpartum period, active diffusion of effective prophylactic techniques, and an appropriate choice in regards to each delivery unit organization. |
Sumário (português) : |
|
Resumen (español) : |
|
Comments : | |
Argument (français) : |
|
Argument (English): | |
Argumento (português): |
|
Argumento (español): |
|
Keywords : | ➡ c-section/caesarean ; duration of labour ; evidence-based medicine/midwifery ; placenta previa/accreta ; guidelines ; prevention ; perineal/vaginal tears ; postpartum hemorrhage ; episiotomy ; instrumental delivery ; active management of labor ; oxytocin ; misoprostol (Cytotec) ; induction of labor ; post-term pregnancy ; informed consent |
Author of this record : | Cécile Loup — 30 Mar 2006 |
Discussion (display only in English) | ||
---|---|---|
New expert query --- New simple query
Creating new record --- Importing records
User management --- Dump database --- Contact
This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
➡ Sign in or create an account to follow changes or become an editor.
➡ Contact bibli(arobase)ciane.net for more information.
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public databases towards the support of parents and caregivers’ informed decisions with respect to childbirth |