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2018, Number 3

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Rev Mex Anest 2018; 41 (3)

Expert consensus for the management of obstetric bleeding in the perioperative period

Carrillo-Esper R, de la Torre-León T, Nava-López JA, Posada-Nava A, Pérez-Calatayud ÁA, de la Torre-León MA, Cabello-Aguilera R, López-Gutiérrez MR

Language: Spanish
References: 114
Page: 155-182
PDF size: 358.03 Kb.


ABSTRACT

Maternal death has a preventive character and therefore avoidable, this is a problem of human rights, gender equality and social justice. One of the main strategies to reduce the presence of obstetric hemorrhage and its complications is the management and identification of risk factors for the development of this complication. A consensus of experts is proposed for the management of this important cause of death in the perioperative period, with the aim of unifying the clinical decision-making at the three levels of obstetric hemorrhage in the perioperative period, based on the recommendations supported by real evidence and available. The consensus is presented as a list of recommendations for each question of the selected topic. A PubMed and Cochrane Library search was conducted with clinical practice guidelines, systematic reviews, randomized clinical trials, meta-analyzes and clinical reports. Results were expressed in evidence level recommendation grade according to the characteristics of the design and type of study. The adequate management of the patient presenting obstetric hemorrhage is a priority, the decision making is adapted to the clinical context of the patient.


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