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Updates in Obstetric Hemorrhage Prevention, Recognition, and Management: Individual devices, Bundles, and Clinical Pathways for Saving Lives in Low Resource settings

by Suellen Miller, RN, CNM, MHA, PhD
  • Duration: 60 Mins
  • Credits:
  • Learning Format: Webinar
  • Handout: Yes
  • Origin: GOLD Midwifery
Abstract:

Despite some advances in individual technologies and strategies, hemorrhage remains one of the major killers of pregnant, childbearing, and postpartum women, especially in lower resourced settings. Maternal mortalities and morbidities have actually risen in many of these places, including in some higher resourced settings, such as the US. In this presentation we will review some of the newer innovations in hemorrhage prevention, recognition, and management, such as the improvised, low cost uterine balloon tamponade, non-pneumatic anti-shock garment, use of standardized blood mats, community distribution of oral/sublingual misoprostol, a uterine balloon that releases Tranexamic Acid, drones for blood delivery in remote areas, and more. We will discuss the influence on Ministries of Health and program managers of the World Health Organization’s recommendations on technologies for PPH. We will then describe and discuss why PPH bundles may be a more efficient way to package and train on technologies and strategies.


Learning Objectives:

Objective 1: Recognize the role of PPH bundles in modern obstetric care;
Objective 2: Name 4 recent advances in PPH early recognition, prevention, and management in Low and Midddle Income Countries (MLICSs);
Objective 3: Discuss the role of Shock Index (SI) in midwifery and obstetrics.


Categories: Birth Complications,