Deep Breaths

S4 Ep. 1: Bleeding love (Postpartum haemorrhage)


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Today, we're deep-diving into the very important topic of postpartum haemorrhage.

We talk about the diagnostic criteria and classification of postpartum bleeds, the four main aetiologies of postpartum haemorrhage, and both the obstetric and anaesthetic approaches to managing these patients intra-operatively. In addition, we also share our own experiences and cases that have stayed with us. We also wish to emphasise for this episode, in general, while the administration of packed red cells is appropriate for massive obstetric haemorrhage, coagulation factors should be given as soon as they become available. 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.   

Thanks for listening, and happy studying.

Resources for today's episode:

RANZCOG's management guidelines for PPH:
https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/Statement%20and%20guidelines/Clinical-Obstetrics/Management-of-Postpartum-Haemorrhage-(C-Obs-43)-Review-July-2017.pdf?ext=.pdf 

Patient Blood Management Guidelines: Obstetrics and Maternity (2015):
https://www.blood.gov.au/system/files/documents/20180426-Module5-WEB.pdf 

QLD Clinical Guideline: Primary PPH:
https://www.health.qld.gov.au/__data/assets/pdf_file/0015/140136/g-pph.pdf 

ANZCA 2017 Blue Book article: Rotational Thromboelastometry (ROTEM) in Obstetrics:
https://www.anzca.edu.au/getattachment/5843b1ab-6599-453d-b55c-08450db9520e/Australasian-Anaesthesia-2017#page= 

Postpartum Hemorrhage by J. Bienstock et al:
https://www.nejm.org/doi/10.1056/NEJMra1513247  

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.

Thanks for listening, and happy studying!

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