Despite the many advances in medical treatment, postpartum hemorrhage (PPH) remains one of the leading causes of maternal mortality around the world. Excessive bleeding plays a role in 25-35% of maternal deaths, and the United States (US) is no exception. In the US, postpartum hemorrhage was responsible for 12% of maternal deaths in 2016 and that figure is rising.
STOP postpartum hemorrhage in its TRACs offers a clear, up-to-date overview of postpartum hemorrhage using the mnemonic TRAC as a guide. TRAC stands for the 4 primary etiologies of PPH - Trauma - Retained Placenta - Atony - Coagulopathy. In this lecture, we present the physiology behind each etiology, prevention, early recognition and responsive, effective management from the least invasive to the most invasive stabilization techniques including anti-hemorrhagic medications, treatment for shock, the use of Non-pneumatic Antishock Garment (NASG) and a host of other life saving options. Treatments are adapted for out of hospital practice including low resource global applications.
Come join us and learn to effectively, efficiently and calmly manage PPH, alleviate fear, increase your confidence and improve maternal outcomes.
Learning Objectives:
1. Define postpartum hemorrhage using up-to-date definition, list at risk populations and describe management plan
2. Compare and contrast expectant management and active management of the third stage of labor
3. Explain the pathophysiology of postpartum hemorrhage, how to quickly identify the etiology and treat the cause using a combination of approaches including medications
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