Table 2. Criteria for minimal acceptable medical and surgical intervention.
Complication | Minimal acceptable interventions | |
---|---|---|
Atony | Oxytocin, Prostaglandin, tranexamic acid | Uterine tamponade (tissue/balloon) or compression sutures (e.g. B-lynch). Additional: Sandwich (tamponade AND compression) |
Abruptio | Oxytocin | Hemostatic sutures (cross stitches etc.) |
Placenta previa | Oxytocin, tranexamic acid | |
Placenta accreta | Oxytocin, tranexamic acid | Hemostatic sutures |
Placenta percreta, recognized | Oxytocin, tranexamic acid | Admittance to referral center, Prophylactic use of Intra vesical balloon catheters, resection of affected myometrium, suturing of lesion and tamponade/compression sutures |
Uterine rupture (including partial rupture) | Suturing uterus | |
HELLP | Awareness of coagulation parameters, Steroids | Timely delivery |
DIC | Thrombo-elastography or similar analysis | Balanced transfusions. |
Sepsis | Relevant antibiotics | Timely diagnosis of sepsis |
Fibromas | Oxytocin, tranexamic acid | |
Laceration and other bleeding* | Tranexamic acid. | Hemostatic sutures. Ligation of arterial vessels. Timely re-suturing |
* E.g. lacerations of the genital tract, uterus, intraabdominal bleeding from resection sites, uterine artery and broad ligament