Management of Coagulopathy in Postpartum Hemorrhage

Andra H. James, Chad Grotegut, Homa Ahmadzia, Cathleen Peterson-Layne, Evelyn Lockhart

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The purpose of this article is to review the use of blood products and hemostatic agents in the management of coagulopathy at the time of postpartum hemorrhage. Blood product administration strategies are broadly reviewed, including the role of the blood bank, the role of massive transfusion protocols, the role of laboratory monitoring, and the role of anesthesia management. Aspects of patient blood management are discussed. The concept refers to an evidence-based, comprehensive, multidisciplinary approach to optimizing the care of patients who might need transfusion and includes measures to avoid or minimize transfusion such as preoperative anemia management, cell salvage, and the use of hemostatic medication to reduce bleeding. The contributions of individual blood components - red blood cells, plasma, cryoprecipitate, and platelets - are described. Current data regarding the complementary role of hemostatic agents - antifibrinolytic agents and clotting factor concentrates - are presented. Two developments in blood component pathogen reduction are introduced.

Original languageEnglish (US)
Pages (from-to)724-731
Number of pages8
JournalSeminars in Thrombosis and Hemostasis
Volume42
Issue number7
DOIs
StatePublished - Oct 1 2016

Keywords

  • blood component
  • blood product
  • coagulopathy
  • patient blood management
  • postpartum hemorrhage
  • transfusion

ASJC Scopus subject areas

  • Hematology
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    James, A. H., Grotegut, C., Ahmadzia, H., Peterson-Layne, C., & Lockhart, E. (2016). Management of Coagulopathy in Postpartum Hemorrhage. Seminars in Thrombosis and Hemostasis, 42(7), 724-731. https://doi.org/10.1055/s-0036-1593417