A Comprehensive Textbook of Postpartum Hemorrhage

With over 120 expert contributors drawn from centres of excellence around the world, this comprehensive clinical textbook provides physicians with detailed practical guidance for the management of this challenging and time-critical condition. Postpartum hemorrhage is the principal cause of maternal mortality. Up to 250,000 women a year die as a result of the condition, and yet most of these deaths could be avoided. The knowledge necessary to manage the condition effectively already exists, so that today most women die from this condition in childbirth not because the knowledge to save them is unknown, but rather because that knowledge has not been effectively transferred to the medical professionals and others whose role is to care for mothers in childbirth. Comprehensive This book is the only comprehensive textbook available on postpartum hemorrhage. The first edition created a great impact when published in 2006 and has been very widely read and used around the world, with some 15,000 copies distributed to less resourced countries and with the text appearing in a number of foreign language editions. 30 New Chapters This new edition updates the information provided in the first edition but also features over 30 new chapters on cutting edge topics including the Mechanisms of action of anti-shock garments, Sublingual misoprostol, Vascular malformations as a cause of PPH and the Role of ultrasound in therapeutic management. The new edition also features the most recent protocols established by the World Health Organization for the treatment of postpartum hemorrhage. Easily Accessible to Readers A special effort has been made to make the text practical and accessible to many different levels of the medical profession. In particular, at the start of the book there is not only an unusually clear guide to the contents so that readers can select easily the topics of most interest to themselves, but also a practical step-by-step algorithm designed to guide both clinicians and nursing staff on the practical sequence of procedures to follow when encountering emergency hemorrhaging after birth. With over 120 expert contributors drawn from centers of excellence from around the world, this book is extensively referenced and highly illustrated. Video Sequence Options A notable additional feature relates to the many surgical illustrations which are accompanied by a link which will take readers to a full video sequence of the procedure being illustrated (this link is free and can be accessed via the website of The Global Library of Women's Medicine www.glowm.com). Wall Chart Included Accompanying each Textbook is a clinical Wall Chart that highlights and illustrates the main steps required for the successful management of postpartum hemorrhage and which can be displayed on clinic walls to raise awareness. This Wall Chart, which has now been enhanced, proved a valuable addition to the first edition and has been translated into six different languages. The second edition represents an outstanding summation of the knowledge in this field and is undoubtedly a definitive reference for clinicians. CONTENTS INCLUDE * Postpartum hemorrhage and evolution E.T. Abrams and J.N. Rutherford * Definitions and classifications A. Coker and R. Oliver * Vital statistics: an overview M.J. Cameron * Maternal morbidity and near misses: determining the real numbers M. Campbell and J. Barrett * Role of the intensivist in the care of patients who have had a major PPH event R. Hebballi and M.Chauhan * Pitfalls in assessing blood loss and decision to transfer B.S. Kodkany, R.J. Derman and N. Sloan * Assessing and replenishing lost volume J.G.L. Cockings and C.S. Waldmann * Blood loss: accuracy of visual estimation A. Patel * Doppler evaluation of hemodynamic changes in uterine blood flow G. Urban, P. Tortoli, S Ricci, SM. Paidas, P. Vergani and P. Patrizio * Pathophysiology of postpartum hemorrhage and third stage of labor R.-U. Khan, H. El-Refaey, D. Abdel Aziz * Obstetric trauma D.G. Evans & C. B-Lynch * Placental abnormalities C.E.M. Aiken, M.K. Mehasseb, J.C. Konje * Active Management of the third stage of labor M. O'Connell * Labor ward drills S.Paterson-Brown and M.K. Tipples * Misoprostol: theory and practice M.B. Bellad and S. Goudar * Economics of misoprostol use in PPH J. Obedin-Maliver * Misoprostol in practice M. Potts * Sublingual misoprostol in the management of postpartum hemorrhage B. Winikoff * Overview of misoprostol studies in postpartum hemorrhage A. Hemmerling * Early use of fibrinogen in massive hemorrhage: experience from combat M.L. Druzin * Carbetocin in the management of postpartum hemorrhage D. Farine, M. Boucher and D. Cordovani * The pelvic pressure pack G.A. Dildy III * Non-pneumatic anti-shock garments: clinical trials and results S. Miller, J.L. Morris, M. Fathalla, O. Ojengbede, M. Mourad-Youssif and P. Hensleigh * The mechanisms of action of the non-pneumatic anti-shock garments A.L. Stenson, S. Miller and F. Lester * Conservative surgical management C. B-Lynch * Internal iliac (hypogastric) artery litigation C. B-Lynch, L.G. Keith and W.B. Campbell * Transfusion management in obstetric hemorrhage E. Lockhart * Jeohvah's Wisnesses and those who refuse blood transfusion E. El-Hamamy and D.S. Newman * Management of postpartum hemorrhage at the community level N. Prata * Resuscitation Resuscitation * Equipment tray for postpartum hemorrhage T.F. Baskett * Building hospital systems for the care of women with major obstetric hemorrhage D.W. Skupski, G.S. Eglinton and I.P. Lowenwirt * Training issues: hands-on, simulation and theoretical E. El-Hamamy and C. B-Lynch * Bleeding from the lower genital tract A. Duncan and C. von Widekind * Adherent placenta: new management options G. Kayem, T. Schmitz, V. Tsatsaris, F. Goffinet and D. Cabrol * Managing placenta accreta O. Thompson, A. Kelkar, A. Coker, C. Otigbah, B. Bastianpillai and S. Kapoor * Adherent placenta – mifepristone and misoprostol for the management of placental accreta – a new alternative approach R. Atalla * Peripartum Hysterectomy T.F. Baskett * Initial interventions to combat hemorrhage during cesarean section and internal iliac ligation V. Paily * Acquired and congenital hemostatic disorders in pregnancy and the puerperium R.V. Ganchev and C.A. Ludlam * The use of recombinant factor VIIa S. Sobieszczyk and G.H. Breborowicz * Standard medical therapy F. Breathnach, M. Geary and J. Unterscheider * Internal uterine tamponade D. Danso and P.W. Reginald * The balloon internal uterine tamponade as a diagnostic test S. Ferrazzani, A. Perrelli, C. Piscicelli and S. De Carolis * Intraluminal pressure readings and a positive “Tamponade Test” C. Georgiou * Embolization and balloon catheter placement K. Choji and T. Shimizu * One-step conservative surgery for placenta accreta J.M. Palacios Jaraquemada * MRI and adherent placenta K. Choji * The management of secondary postpartum hemorrhage and sepsis K.M. Groom, Shian Miller and T.Z. Jacobson * Pathology of the uterus P. Kelehan and E.E. Mooney * Vascular malformations as a cause of PPH K. Hayes * Severe acute maternal morbidity P. Kelehan and E.E. Mooney * Declining mortality rate of PPH in Japan and factors influencing these changes, 1950-2009 Y. Imaizumi, T. Ikeda, and L.G. Keith * An institutional experience C.T. Wohlmuth and J. Dela Merced * Improving Management of Postpartum Hemorrhage in Low Resource Settings V. Walvekar, A. Virkud and R. Majumder * Litigation: an international perspective K.J. Dalton and C. B-Lynch * The obstetrician confronts postpartum hemorrhage M.E. Setchell * The midwife confronts postpartum hemorrhage A.M. Ward * Human behavior in medical emergencies E. Evans and H. Snelgrove * The single-unit transfusion in the bled-out obstetric patient V. Nama, M. Karoshi, M. Wac, L.G. Keith and S.A. Mujeeb * Out-of-hospital deliveries E. Sheiner, I. Ohel and A. Hadar * The continuum of care model for PPH C.T. Kapungu, A. Koch, S. Miller, and S.E. Geller * State mandated training in obstetric hemorrhage: the Illinois model R. Malapati, A.Patel and E.S. Linn * Intraoperative autologous blood transfusion S. Catling and D. Thomas * Treating hemorrhage from secondary abdominal pregnancy: then and now N.A. Dastur, A.E. Dastur and P.D. Tank * Management of exsanguinating patients M. Schreiber and J. Elterman * Future transfusion therapies M. Paidas and A.Arav * Lessons from CEMACH D. Fleming, M. Karoshi and S. Arulkumaran * Implement PPH prevention and treatment in low resource countries - AMSTL program A.B. Lalonde * WHO and FIGO Guidelines for the Management of PPH Edited by Sir Sabaratnam Arulkumaran MD, PhD, FRCS, FRCOG, St George’s Hospital, University of London, London, UK Christopher B-Lynch FRCS, FRCOG, D.Univ, Cranfield University, Bedfordshire, UK and Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, UK Louis G. Keith MD PhD, FACOG, FRCOG Northwestern University, Chicago, IL, USA André B. Lalonde MD, FRCSC, FRCOG and University of Ottawa, McGill, Canada Mahantesh Karoshi MD, MRCOG, DCRCM Barnet and Chase Farm Hospitals NHS Trust, Barnet, Herts, UK