TITLE:
Evaluation of process management of postpartum hemorrhage due to uterine atony
AUTHORS:
Iris Holzer, Rainer Lehner
KEYWORDS:
Postpartum Hemorrhage; Uterine Atony; Management Process
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.7,
August
13,
2013
ABSTRACT: Objective:
To evaluate the management process and the guidelines for management of
postpartum hemorrhage due to uterine atony at the General Hospital Vienna, Medical University Vienna. Material and Methods: A retrospective analysis was carried out on all 24 cases of postpartum
hemorrhage due to uterine atony with an estimated blood loss of more than 800
mL, in which standardized guidelines were obtained. We included all women who
gave birth at the General Hospital of Vienna, the Medical University Vienna,
during the period from January 1st 2003 and December 31st 2009 and who suffered blood loss 800 mL at minimum due to uterine atony.
Results: The guidelines were in use for 14% - 71%. The average blood loss of
the 24 cases with uterine atony was 1342 mL. Conclusion: The management process
of postpartum hemorrhage due to uterine atony deviates from the hospital’s
guidelines in many cases.