An update on post-partum hemorrhage

Abstract

Post-partum hemorrhage can be a devastating complication of delivery and is still responsible for substantial maternal morbidity and mortality around the world. The aim of this narrative review is to focus on its optimal management, according to the most recent literature and most recent guidelines. All aspects are considered, from anticipation of the problem during pregnancy and determination of risk factors, early diagnosis and determination of the underlying cause, resuscitation, goal-directed coagulopathy correction, as well as obstetrical, surgical, and radiological management. Post-event team debriefing, and psychological support for the patient are also addressed. We emphasize the necessity to have institutional protocols to guide practitioners in managing this life-threatening emergency and insist on the utility of multidisciplinary simulation sessions. Improving readiness and response to, as well as recognition and reporting of post-partum hemorrhage can improve efficiency in dealing with this challenging emergency through better resource management and appropriate care bundling.