Anaes Cases · Obstetric anaesthesia
Massive obstetric haemorrhage
The hot massive obstetric haemorrhage — the activation of the massive transfusion protocol, the uterotonics (oxytocin, ergometrine, carboprost), the surgical control, and the coagulopathy management.
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ANZCAFRCAABAEDAIC
Prompt
Following an emergency caesarean, the uterus fails to contract and the blood loss is 2 litres in 5 minutes. Manage.
Presentation
Following an emergency caesarean for a failed instrumental delivery, the uterus fails to contract (uterine atony). The estimated blood loss is 2 litres in 5 minutes, with ongoing brisk bleeding. The blood pressure is falling, the heart rate is 130.[40089397]
References2ShowHide
- [1]Bamber JH, Plaat F. Beyond the numbers: obstetric anaesthesia and maternal deaths. British Journal of Anaesthesia, 2025.PMID 40089396
- [40089397]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.