Postpartum hemorrhage management in 2012: predicting the future.

  title={Postpartum hemorrhage management in 2012: predicting the future.},
  author={Oluwatoyosi A Onwuemene and David Vincent Green and Louis Keith},
  journal={International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics},
  volume={119 1},
Transfusion therapy in postpartum hemorrhage (PPH) traditionally has been modeled after precedents set in the Vietnam and Korean wars. However, data from recent military combat casualties suggest a different transfusion strategy. Transfusion of packed red blood cells, fresh frozen plasma, and platelets in a ratio of 1:1:1 improves dilutional coagulopathy and survival. Women who present with low fibrinogen at the time of diagnosis of PPH have poorer outcomes and might benefit from early… CONTINUE READING