Care bundles for management of obstetrical hemorrhage

Semin Perinatol. 2016 Mar;40(2):99-108. doi: 10.1053/j.semperi.2015.11.015. Epub 2016 Jan 12.

Abstract

Peripartum hemorrhage is one of the most preventable causes of maternal mortality worldwide. Much effort has been directed toward creating programs that address deficits in maternity care responsible for preventable hemorrhage-related morbidity and mortality. To have a significant impact on outcomes, such programs must address both providers and processes involved in the delivery of maternity care. At the core of a successful program, are standardized care bundles integrating medical and surgical techniques for managing hemorrhage with principles of transfusion medicine and critical care. In this article, we review the components of the safety bundle for obstetric hemorrhage developed by ACOG District II Safe Motherhood Initiative.

Keywords: Hemorrhagic shock; Massive transfusion; Maternal Mortality; Peripartum hemorrhage.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Blood Transfusion / methods
  • Blood Transfusion / standards
  • Decision Support Techniques
  • Delivery, Obstetric / methods
  • Delivery, Obstetric / standards*
  • Female
  • Fluid Therapy / methods
  • Fluid Therapy / standards
  • Hemostatic Techniques / standards
  • Humans
  • Patient Care Bundles / standards*
  • Patient Safety / standards
  • Postnatal Care / methods
  • Postnatal Care / standards*
  • Postpartum Hemorrhage / diagnosis
  • Postpartum Hemorrhage / etiology
  • Postpartum Hemorrhage / therapy*
  • Pregnancy
  • Risk Assessment