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A Bakri balloon is a balloon tamponade specifically constructed for uterine postpartum hemorrhage. [45] While effective, commercially available devices may be expensive for settings in which postpartum hemorrhage is most common. Low-cost devices, such as the ESM-UBT, have been shown to be effective without the need for operative intervention.
Anemia is a condition in which blood has a lower-than-normal amount of red blood cells or hemoglobin. [1] Anemia in pregnancy is a decrease in the total red blood cells (RBCs) or hemoglobin in the blood during pregnancy.
A common practice is to offer a transfusion to symptomatic women with a hemoglobin value less than 7 g/dL. In most cases of uterine atony-related postpartum hemorrhage, the amount of iron lost is not fully replaced by the transfused blood. Oral iron should thus be also considered. Parenteral iron therapy is an option as it accelerated recovery.
Abnormal bleeding after delivery, or postpartum hemorrhage, is the loss of greater than 500 ml of blood following vaginal delivery, or 1000 ml of blood following cesarean section. Other definitions of excessive postpartum bleeding are hemodynamic instability, drop of hemoglobin of more than 10%, [12] or requiring blood transfusion. In the ...
Obstetrics & Gynecology is the official publication of ACOG. It is popularly known as "The Green Journal". [7] In 1986, the organization successfully challenged an anti-abortion law in Pennsylvania before the U.S. Supreme Court in Thornburgh v. American College of Obstetricians and Gynecologists. [8]
These evidence-based guidelines cover topics like fetal heart rate monitoring, labor induction, neonatal skin care, [4] care of the late preterm infant, [5] breastfeeding, HPV counseling, neonatal hyperbilirubinemia, nursing staffing, [6] and care of the patient in the second stage of labor.
An increase in lochia between 7–14 days postpartum may indicate delayed postpartum hemorrhage. [23] Hemorrhoids and constipation in this period are common, and stool softeners are routinely given. [24] If an episiotomy or perineal tear had to be sutured, the use of a donut pillow allows the woman to sit pain-free or at least with reduced pain.
[1] [2] For low resource countries, the combination of poor nutrition, lack of access to simple therapy with iron replacement, and the symptom of heavy menstrual bleeding (HMB) are collectively responsible for the global epidemic of iron deficiency anemia, a circumstance that sets up a pregnant population vulnerable to peripartum hemorrhage and ...