Management of major obstetric haemorrhage

Anjan Trikha, Preet Mohinder Singh

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


One of the most important causes of maternal mortality is major obstetric haemorrhage. Major haemorrhage can occur in parturients either during the antepartum period, during delivery, or in the postpartum period. Early recognition and a multidisciplinary team approach in the management are the cornerstones of improving the outcome of such cases. The management consists of fluid resuscitation, administration of blood and blood products, conservative measures such as uterine cavity tamponade and sutures, and finally hysterectomy. Blood transfusion strategies have changed over the last decade with emphasis on use of fresh frozen plasma, platelets, and fibrinogen. Point-of-care testing for treating coagulopathies promptly and interventional radiological procedures have further revolutionized the management of such cases.

Original languageEnglish (US)
Pages (from-to)698-703
Number of pages6
JournalIndian Journal of Anaesthesia
Issue number9
StatePublished - 2018

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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