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Postpartum hemorrhage: The role of the Maternal-Fetal Medicine specialist in enhancing quality and patient safety

机译:产后出血:母形医学专家在提高质量和患者安全方面的作用

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摘要

Postpartum hemorrhage in excess of 1000. mL affects 2.9-4.3% of deliveries in North America and the prevalence is increasing (Calvert et al., 2012. 1; Callaghan et al., 2010. 2). Given the unpredictable nature of most postpartum hemorrhages, all obstetric providers must understand the initial steps in the assessment and management of this emergency. In this monograph we will review the potential role of the Maternal-Fetal Medicine (MFM) specialist in managing this acute obstetric emergency. MFMs are uniquely positioned to develop hospital protocols, advocate for investment in resources to optimize outcomes, and utilize novel educational models, such as simulation, to educate other providers on the recognition and management of this condition. MFMs can also aid in the antepartum diagnosis of abnormal placentation, which is an increasingly common risk factor for severe hemorrhage.
机译:产后出血超过1000. ml影响北美的2.9-4.3%的交付量,流行增加(Calvert等,2012. 1; Callaghan等,2010.2)。 鉴于大多数产后出血的不可预测性质,所有产科提供者必须了解对这项紧急情况的评估和管理中的初步步骤。 在本专着中,我们将审查母形医学(MFM)专家在管理这一急性产科紧急情况方面的潜在作用。 MFMS独特地定位开发医院协议,倡导资源投资以优化结果,利用新颖的教育模式,如模拟,教育其他提供商对这种情况的认可和管理。 MFMS还可以帮助诱导异常诱导的患者,这是严重出血的越来越常见的危险因素。

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