Guía de práctica clínica para la prevención y el manejo de la hemorragia posparto y complicaciones del choque hemorrágico

  • Joaquín Guillermo Gómez Dávila
  • Jhon Henry Osorio Castaño
  • John Jairo Zuleta Tobón
  • Juan Guillermo Londoño Cardona
  • Jesús Arnulfo Velásquez Penagos
  • Ingrid Arévalo Rodríguez
  • Pío Iván Gómez Sánchez
  • Representantes del Grupo

Resumen

Objetivo: formular recomendaciones basadas en la mejor evidencia disponible que sirvan como guía para los profesionales de salud en la prevención, detección y el manejo de la hemorragia posparto y de las complicaciones asociadas a la misma con el fin de homogeneizar las conductas clínicas y contribuir a la reducción de la morbi-mortalidad materna.

Materiales y métodos: el grupo desarrollador de la Guía (GDG) elaboró esta GPC durante 2011-2012 acorde con la Guía Metodológica para la elaboración de Guías de Atención Integral en el Sistema Generalde Seguridad Social en Salud colombiano, basándose en la evidencia científica disponible y sumando la participación activa de grupos de pacientes, sociedades científicas y grupos de interés. En particular, la evidencia de esta Guía fue adaptada de las GPC del Royal College of Obstetricians and Gynaecologists (RCOG) “Prevention and management of postpartum haemorrhage” (2009) y de la Organización Mundial de la Salud (OMS), “WHO guidelines for the management of postpartum haemorrhage and retained placenta” (2009), y actualizada por medio de procedimientos sistemáticos, tanto para la búsqueda y la valoración de la evidencia, como para la generación de recomendaciones. El nivel de evidencia y la fuerza de las recomendaciones fueron expresadas por medio del sistema del Scottish Intercollegiate Guidelines Network (SIGN).

Resultados: se presentan recomendaciones para la prevención, detección y el tratamiento de la hemorragia posparto a partir de 17 preguntas clínicas.

Conclusión: se presenta una versión resumida de las recomendaciones y evidencia de esta Guía, que se espera sea adoptada por los profesionales de la salud encargados de la atención del embarazo en el país para disminuir la morbilidad y mortalidad asociada a la gestación.

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Biografía del autor/a

Joaquín Guillermo Gómez Dávila
Médico cirujano. Especialista en Obstetricia y Ginecología. Magíster en Epidemiología. Director Centro NACER. Docente, Universidad de Antioquia. Medellín, Colombia.
Jhon Henry Osorio Castaño
Coordinador Epidemiología Clínica de la subguía. Enfermero. Especialista en Gerencia de IPS. Magíster en Epidemiología. Medellín, Colombia.
John Jairo Zuleta Tobón
Médico cirujano. Especialista en Obstetricia y Ginecología. Magíster en Epidemiología. Docente, Universidad de Antioquia, NACER.
Juan Guillermo Londoño Cardona
Médico cirujano. Especialista en Obstetricia y Ginecología. Coordinador del Área de Educación, NACER-Universidad de Antioquia.
Jesús Arnulfo Velásquez Penagos
Médico cirujano. Especialista en Obstetricia y Ginecología. Fellow en Cuidado Crítico Obstétrico. Coordinador de Mortalidad Materna-NACER. Docente, Universidad de Antioquia.
Ingrid Arévalo Rodríguez
Epidemióloga clínica, Universidad Nacional de Colombia. PhD (c) en Pediatría, Obstetricia y Ginecología, Medicina Preventiva y Salud Pública, Universidad Autónoma de Barcelona. Coordinadora General de Epidemiología Clínica de la Guía. Instructor asociado División de Investigaciones, Fundación Universitaria de Ciencias de la Salud, Hospital de San José-Hospital Infantil de San José.
Pío Iván Gómez Sánchez
Médico cirujano. Especialista en Obstetricia y Ginecología, y Epidemiología. Magíster en Salud Sexual y Reproductiva. Profesor Titular y Director del Grupo de Investigación en Salud Sexual y Reproductiva de la Facultad de Medicina, Universidad Nacional de Colombia. Líder general de la GPC.
Representantes del Grupo

Representantes del Grupo Desarrollador de la Guía - Universidad Nacional de Colombia  Alianza Cinets

Referencias bibliográficas

WHO, UNFPA, Bank. W. Trends in Maternal Mortality: 1990-2008: WHO Library Cataloguing-in-Publication Data; [2010 Jan 2012]. Disponible: http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf.

Carroli G, Cuesta C, Abalos E, Gulmezoglu AM. Epidemiology of postpartum haemorrhage: a systematic review. Best Pract Res Clin Obstet Gynaecol. 2008;22:999-1012. Epub 2008/09/30.

Alcaldía de Medellín. Salud sexual y reproductiva, Universidad de Antioquia. Informe final de la vigilancia epidemiológica de la Morbilidad Obstétrica Severa en la ciudad de Medellín. Medellín: Secretaría de Salud, Dirección de Salud Pública. Nacer Salud sexual y reproductiva, Universidad de Antioquia; 2008.

Lalonde A, Daviss BA, Acosta A, Herschderfer K. Postpartum hemorrhage today: ICM/FIGO initiative 2004-2006. Int J Gynaecol Obstet. 2006;94:243-53. Epub 2006/07/18.

Waterstone M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case-control study. BMJ. 2001;322:1089-93. Epub 2001/05/05.

Royal College of Obstetricians and Gynaecologists. Prevention and Management of Postpartum Haemorrhage. London; 2009 [Visitado 2011 Jun 1]. Disponible en: http://www.rcog.org.uk/womens-health/clinical-guidance/prevention-andmanagement-postpartum-haemorrhage-greentop-52.

World Health Organization. WHO guidelines for the management of postpartum haemorrhage and retained placenta. Geneve: WHO Press; 2009 [Visitado 2011 Jun 1]. Disponible en: http://whqlibdoc.who.int/publications/2009/9789241598514_eng.pdf.

Ministerio de Salud y Protección Social, Colciencias. Guía de práctica clínica para la prevención, detección temprana y tratamiento de las complicaciones del embarazo, parto o puerperio. Versión completa. Bogotá: Alianza CINETS; 2013. ISBN: 978-95857937-4-3. Disponible en: http://www.guiascolcienciasminproteccionsocialalianzacinets.org/index.php?option=com_wrapper&view=wrapper&Itemid=552.

Ministerio de Salud y Protección Social, Colciencias. Guía de práctica clínica para la prevención, detección temprana y tratamiento de las complicaciones del embarazo, parto o puerperio. Version para pacientes. Bogotá: Alianza Cinets; 2013. ISBN: 978-958-8838-07-6. Disponible en: http://www.guiascolcienciasminproteccionsocialalianzacinets.org/index.php?option=com_wrapper&view=wrapper&Itemid=552.

Prendiville WJ, Elbourne D, McDonald S. Active versus expectant management in the third stage of labour. Cochrane Database Syst Rev. 2000(3):CD000007. Epub 2000/07/25.

Begley CM, Gyte GM, Devane D, McGuire W, Weeks A. Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev. 2011(11):CD007412. Epub 2011/11/11.

Elbourne DR, Prendiville WJ, Carroli G, Wood J, McDonald S. Prophylactic use of oxytocin in the third stage of labour. Cochrane Database Syst Rev. 2001(4):CD001808. Epub 2001/11/01.

Soltani H, Hutchon DR, Poulose TA. Timing of prophylactic uterotonics for the third stage of labour after vaginal birth. Cochrane Database Syst Rev. 2010(8):CD006173. Epub 2010/08/06.

McDonald S, Abbott JM, Higgins SP. Prophylactic ergometrine-oxytocin versus oxytocin for the third stage of labour. Cochrane Database Syst Rev. 2004(1):CD000201. Epub 2004/02/20.

Gulmezoglu AM, Forna F, Villar J, Hofmeyr GJ. Prostaglandins for preventing postpartum haemorrhage. Cochrane Database Syst Rev. 2007(3): CD000494. Epub 2007/07/20.

Alfirevic Z, Blum J, Walraven G, Weeks A, Winikoff B. Prevention of postpartum hemorrhage with misoprostol. Int J Gynaecol Obstet. 2007;99 Suppl 2:S198-201. Epub 2007/10/27.

Liabsuetrakul T, Choobun T, Peeyananjarassri K, Islam QM. Prophylactic use of ergot alkaloids in the third stage of labour. Cochrane Database Syst Rev. 2007(2):CD005456. Epub 2007/04/20.

Novikova N, Hofmeyr GJ. Tranexamic acid for preventing postpartum haemorrhage. Cochrane Database Syst Rev. 2010(7):CD007872. Epub 2010/07/09.

Peters NC, Duvekot JJ. Carbetocin for the prevention of postpartum hemorrhage: a systematic review. Obstet Gynecol Surv. 2009;64:129-35. Epub 2009/01/23.

Mathew JL. Timing of umbilical cord clamping in term and preterm deliveries and infant and maternal outcomes: a systematic review of randomized controlled trials. Indian Pediatr. 2011;48:123-9. Epub 2011/03/08.

McDonald SJ, Middleton P. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2008(2):CD004074. Epub 2008/04/22.

Hofmeyr GJ, Abdel-Aleem H, Abdel-Aleem MA. Uterine massage for preventing postpartum haemorrhage. Cochrane Database Syst Rev. 2008(3): CD006431. Epub 2008/07/23.

Dennehy KC, Rosaeg OP, Cicutti NJ, Krepski B, Sylvain JP. Oxytocin injection after caesarean delivery: intravenous or intramyometrial? Can J Anaesth. 1998;45:635-9. Epub 1998/08/26.

Munn MB, Owen J, Vincent R, Wakefield M, Chestnut DH, Hauth JC. Comparison of two oxytocin regimens to prevent uterine atony at cesarean delivery: a randomized controlled trial. Obstet Gynecol. 2001;98:386-90. Epub 2001/09/01.

Lokugamage AU, Paine M, Bassaw-Balroop K, Sullivan KR, Refaey HE, Rodeck CH. Active management of the third stage at caesarean section: a randomised controlled trial of misoprostol versus syntocinon. Aust N Z J Obstet Gynaecol. 2001;41:411-4. Epub 2002/01/15.

Chou MM, MacKenzie IZ. A prospective, doubleblind, randomized comparison of prophylactic intramyometrial 15-methyl prostaglandin F2 alpha, 125 micrograms, and intravenous oxytocin, 20 units, for the control of blood loss at elective cesarean section. Am J Obstet Gynecol. 1994;171:1356-60. Epub 1994/11/01.

George RB, McKeen D, Chaplin AC, McLeod L. Up-down determination of the ED(90) of oxytocin infusions for the prevention of postpartum uterine atony in parturients undergoing Cesarean delivery. Can J Anaesth. 2010;57:578-82. Epub 2010/03/20.

Svanstrom MC, Biber B, Hanes M, Johansson G, Naslund U, Balfors EM. Signs of myocardial ischaemia after injection of oxytocin: a randomized double-blind comparison of oxytocin and methylergometrine during Caesarean section. Br J Anaesth. 2008;100:683-9. Epub 2008/04/04.

Butwick AJ, Coleman L, Cohen SE, Riley ET, Carvalho B. Minimum effective bolus dose of oxytocin during elective Caesarean delivery. Br J Anaesth. 2010;104:338-43. Epub 2010/02/13.

Sheehan SR, Montgomery AA, Carey M, McAuliffe FM, Eogan M, Gleeson R, et al. Oxytocin bolus versus oxytocin bolus and infusion for control of blood loss at elective caesarean section: double blind, placebo controlled, randomised trial. BMJ. 2011;343:d4661. Epub 2011/08/03.

King KJ, Douglas MJ, Unger W, Wong A, King RA. Five unit bolus oxytocin at cesarean delivery in women at risk of atony: a randomized, double-blind, controlled trial. Anesth Analg. 2010;111:1460-6. Epub 2010/10/05.

Gungorduk K, Asicioglu O, Celikkol O, Olgac Y, Ark C. Use of additional oxytocin to reduce blood loss at elective caesarean section: A randomised control trial. Aust N Z J Obstet Gynaecol. 2010;50:36-9. Epub 2010/03/12.

McLeod G, Munishankar B, MacGregor H, Murphy DJ. Maternal haemodynamics at elective caesarean section: a randomised comparison of oxytocin 5-unit bolus and placebo infusion with oxytocin 5-unit bolus and 30-unit infusion. Int J Obstet Anesth. 2010;19:155-60. Epub 2010/03/03.

Quiroga R, Cantu R, Tello HE, Puente M, Montemayor R, Martinez A. [Intrauterine misoprostol for the prevention of bleeding cesarean]. Ginecol Obstet Mex. 2009;77:469-74. Epub 2009/11/12.

Chaudhuri P, Banerjee GB, Mandal A. Rectally administered misoprostol versus intravenous oxytocin infusion during cesarean delivery to reduce intraoperative and postoperative blood loss. Int J Gynaecol Obstet. 2010;109:25-9. Epub 2010/01/15.

Eftekhari N, Doroodian M, Lashkarizadeh R. The effect of sublingual misoprostol versus intravenous oxytocin in reducing bleeding after caesarean section. J Obstet Gynaecol. 2009;29:633-6. Epub 2009/09/17.

Sekhavat L, Tabatabaii A, Dalili M, Farajkhoda T, Tafti AD. Efficacy of tranexamic acid in reducing blood loss after cesarean section. J Matern Fetal Neonatal Med. 2009;22:72-5. Epub 2009/01/24.

Attilakos G, Psaroudakis D, Ash J, Buchanan R, Winter C, Donald F, et al. Carbetocin versus oxytocin for the prevention of postpartum haemorrhage following caesarean section: the results of a double-blind randomised trial. BJOG. 2010;117(8):929-36. Epub 2010/05/21.

Borruto F, Treisser A, Comparetto C. Utilization of carbetocin for prevention of postpartum hemorrhage after cesarean section: a randomized clinical trial. Arch Gynecol Obstet. 2009;280:707-12. Epub 2009/02/21.

CRES. Informe Técnico 125: Efectividad, seguridad y análisis económico de la carbetocina versus la oxitocina para la prevención de la atonía uterina y hemorragia posparto; 2011.

Levine AB, Kuhlman K, Bonn J. Placenta accreta: comparison of cases managed with and without pelvic artery balloon catheters. J Matern Fetal Med. 1999;8:173-6. Epub 1999/07/16.

Alvarez M, Lockwood CJ, Ghidini A, Dottino P, Mitty HA, Berkowitz RL. Prophylactic and emergent arterial catheterization for selective embolization in obstetric hemorrhage. Am J Perinatol. 1992;9:441-4. Epub 1992/09/01.

Mitty HA, Sterling KM, Alvarez M, Gendler R. Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology. 1993;188:183-7. Epub 1993/07/01.

Dubois J, Garel L, Grignon A, Lemay M, Leduc L. Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses. Am J Obstet Gynecol. 1997;176:723-6. Epub 1997/03/01.

Hansch E, Chitkara U, McAlpine J, El-Sayed Y, Dake MD, Razavi MK. Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol. 1999;180(6 Pt 1):1454-60. Epub 1999/06/16.

Ojala K, Perala J, Kariniemi J, Ranta P, Raudaskoski T, Tekay A. Arterial embolization and prophylactic catheterization for the treatment for severe obstetric hemorrhage. Acta Obstet Gynecol Scand. 2005;84:1075-80. Epub 2005/10/20.

Bodner LJ, Nosher JL, Gribbin C, Siegel RL, Beale S, Scorza W. Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta. Cardiovasc Intervent Radiol. 2006;29:354-61. Epub 2006/02/28.

Tan CH, Tay KH, Sheah K, Kwek K, Wong K, Tan HK, et al. Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta. AJR Am J Roentgenol. 2007;189:1158-63. Epub 2007/10/24.

Sentilhes L, Ambroselli C, Kayem G, Provansal M, Fernandez H, Perrotin F, et al. Maternal outcome after conservative treatment of placenta accreta. Obstet Gynecol. 2010;115:526-34. Epub 2010/02/24.

van Beekhuizen HJ, de Groot AN, De Boo T, Burger D, Jansen N, Lotgering FK. Sulprostone reduces the need for the manual removal of the placenta in patients with retained placenta: a randomized controlled trial. Am J Obstet Gynecol. 2006;194:446-50. Epub 2006/02/07.

Nardin JM, Weeks A, Carroli G. Umbilical vein injection for management of retained placenta. Cochrane Database Syst Rev. 2011(5):CD001337. Epub 2011/05/13.

Abdel-Aleem H, Abdel-Aleem MA, Shaaban OM. Tocolysis for management of retained placenta. Cochrane Database Syst Rev. 2011(1):CD007708. Epub 2011/01/21.

Chongsomchai C, Lumbiganon P, Laopaiboon M. Prophylactic antibiotics for manual removal of retained placenta in vaginal birth. Cochrane Database Syst Rev. 2006(2):CD004904. Epub 2006/04/21.

Baskett PJ. ABC of major trauma. Management of hypovolaemic shock. BMJ. 1990;300:1453-7. Epub 1990/06/02.

Bose P, Regan F, Paterson-Brown S. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG. 2006;113:919-24. Epub 2006/08/16.

Duthie SJ, Ven D, Yung GL, Guang DZ, Chan SY, Ma HK. Discrepancy between laborator y determination and visual estimation of blood loss during normal delivery. Eur J Obstet Gynecol Reprod Biol. 1991;38:119-24. Epub 1991/01/30.

Ho AM, Karmakar MK, Dion PW. Are we giving enough coagulation factors during major trauma resuscitation? Am J Surg. 2005;190:479-84. Epub 2005/08/18.

Hirshberg A, Dugas M, Banez EI, Scott BG, Wall MJ, Jr., Mattox KL. Minimizing dilutional coagulopathy in exsanguinating hemorrhage: a computer simulation. J Trauma. 2003;54:454-63. Epub 2003/03/14.

Human albumin administration in critically ill patients: systematic review of randomised controlled trials. Cochrane Injuries Group Albumin Reviewers. BMJ. 1998;317:235-40. Epub 1998/07/24.

Roberts I, Blackhall K, Alderson P, Bunn F, Schierhout G. Human albumin solution for resuscitation and volume expansion in critically ill patients. Cochrane Database Syst Rev. 2011(11):CD001208. Epub 2011/11/11.

Perel P, Roberts I. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev. 2011(3):CD000567. Epub 2011/03/18.

Havel C, Arrich J, Losert H, Gamper G, Mullner M, Herkner H. Vasopressors for hypotensive shock. Cochrane Database Syst Rev. 2011(5):CD003709. Epub 2011/05/13.

Mousa HA, Alfirevic Z. Treatment for primary postpartum haemorrhage. Cochrane Database Syst Rev. 2007(1):CD003249. Epub 2007/01/27.

Buttino L, Jr., Garite TJ. The use of 15 methyl F2 alpha prostaglandin (Prostin 15M) for the control of postpartum hemorrhage. Am J Perinatol. 1986;3:241-3. Epub 1986/07/01.

Oleen MA, Mariano JP. Controlling refractory atonic postpartum hemorrhage with Hemabate sterile solution. Am J Obstet Gynecol. 1990;162:205-8. Epub 1990/01/01.

Hofmeyr GJ, Walraven G, Gulmezoglu AM, Maholwana B, Alfirevic Z, Villar J. Misoprostol to treat postpartum haemorrhage: a systematic review. BJOG. 2005;112:547-53. Epub 2005/04/22.

Widmer M, Blum J, Hofmeyr GJ, Carroli G, Abdel-Aleem H, Lumbiganon P, et al. Misoprostol as an adjunct to standard uterotonics for treatment of postpartum haemorrhage: a multicentre, double-blind randomised trial. Lancet. 2010;375:1808-13. Epub 2010/05/25.

Blum J, Winikoff B, Raghavan S, Dabash R, Ramadan MC, Dilbaz B, et al. Treatment of post-partum haemorrhage with sublingual misoprostol versus oxytocin in women receiving prophylactic oxytocin: a double-blind, randomised, non-inferiority trial. Lancet. 2010;375:217-23. Epub 2010/01/12.

Winikoff B, Dabash R, Durocher J, Darwish E, Nguyen TN, Leon W, et al. Treatment of post-partum haemorrhage with sublingual misoprostol versus oxytocin in women not exposed to oxytocin during labour: a double-blind, randomised, non-inferiority trial. Lancet. 2010;375:210-6. Epub 2010/01/12.

Ducloy-Bouthors AS, Jude B, Duhamel A, Broisin F, Huissoud C, Keita-Meyer H, et al. High-dose tranexamic acid reduces blood loss in postpartum haemorrhage. Crit Care. 2011;15:R117. Epub 2011/04/19.

Abdel-Aleem H, Singata M, Abdel-Aleem M, Mshweshwe N, Williams X, Hofmeyr GJ. Uterine massage to reduce postpartum hemorrhage after vaginal delivery. Int J Gynaecol Obstet. 2010;111:32-6. Epub 2010/07/06.

Ikechebelu JI, Obi RA, Joe-Ikechebelu NN. The control of postpartum haemorrhage with intrauterine Foley catheter. J Obstet Gynaecol. 2005;25:70-2. Epub 2005/09/09.

Bakri YN, Amri A, Abdul Jabbar F. Tamponadeballoon for obstetrical bleeding. Int J Gynaecol Obstet. 2001;74:139-42. Epub 2001/08/15.

Chan C, Razvi K, Tham KF, Arulkumaran S. The use of a Sengstaken-Blakemore tube to control post-partum hemorrhage. Int J Gynaecol Obstet. 1997;58:251-2. Epub 1997/08/01.

Condous GS, Arulkumaran S, Symonds I, Chapman R, Sinha A, Razvi K. The "tamponade test" in the management of massive postpartum hemorrhage. Obstet Gynecol. 2003;101:767-72. Epub 2003/04/12.

Akhter S, Begum MR, Kabir Z, Rashid M, Laila TR, Zabeen F. Use of a condom to control massive postpartum hemorrhage. Med Gen Med. 2003;5:38. Epub 2003/11/06.

B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol. 1997;104:372-5. Epub 1997/03/01.

Hayman RG, Arulkumaran S, Steer PJ. Uterine compression sutures: surgical management of postpartum hemorrhage. Obstet Gynecol. 2002;99:502-6. Epub 2002/02/28.

Ghezzi F, Cromi A, Uccella S, Raio L, Bolis P, Surbek D. The Hayman technique: a simple method to treat postpartum haemorrhage. BJOG. 2007;114:362-5. Epub 2007/01/16.

Hwu YM, Chen CP, Chen HS, Su TH. Parallel vertical compression sutures: a technique to control bleeding from placenta praevia or accreta during caesarean section. BJOG. 2005;112:1420-3. Epub 2005/09/20.

Kafali H, Demir N, Soylemez F, Yurtseven S. Hemostatic cervical suturing technique for management of uncontrollable postpartum haemorrhage originating from the cervical canal. Eur J Obstet Gynecol Reprod Biol. 2003;110:35-8. Epub 2003/08/23.

Joshi VM, Otiv SR, Majumder R, Nikam YA, Shrivastava M. Internal iliac artery ligation for arresting postpartum haemorrhage. BJOG. 2007;114:356-61. Epub 2007/01/31.

Dildy GA, 3rd. Postpartum hemorrhage: new management options. Clin Obstet Gynecol. 2002;45:330-44. Epub 2002/06/06.

Hong TM, Tseng HS, Lee RC, Wang JH, Chang CY. Uterine artery embolization: an effective treatment for intractable obstetric haemorrhage. Clin Radiol. 2004;59:96-101. Epub 2003/12/31.

Bloom AI, Verstandig A, Gielchinsky Y, Nadiari M, Elchalal U. Arterial embolisation for persistent primary postpartum haemorrhage: before or after hysterectomy? BJOG. 2004;111:880-4. Epub 2004/07/24.

Yong SP, Cheung KB. Management of primary postpartum haemorrhage with arterial embolisation in Hong Kong public hospitals. Hong Kong Med J. 2006;12:437-41. Epub 2006/12/07.

Doumouchtsis SK, Papageorghiou AT, Arulkumaran S. Systematic review of conservative management of postpartum hemorrhage: what to do when medical treatment fails. Obstet Gynecol Surv. 2007;62:540-7. Epub 2007/07/20.

Rossi AC, Lee RH, Chmait RH. Emergency postpartum hysterectomy for uncontrolled postpartum bleeding: a systematic review. Obstet Gynecol. 2010;115:637-44. Epub 2010/02/24.

Shahin AY, Farghaly TA, Mohamed SA, Shokry M, Abd-El-Aal DE, Youssef MA. Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta. Int J Gynaecol Obstet. 2010;108:187-90. Epub 2009/12/01.

Neilson JP. Interventions for treating placental abruption. Cochrane Database Syst Rev. 2003(1): CD003247. Epub 2003/01/22.

Hurd WW, Miodovnik M, Hertzberg V, Lavin JP. Selective management of abruptio placentae: a prospective study. Obstet Gynecol. 1983;61:467-73. Epub 1983/04/01.

Catling SJ, Williams S, Fielding AM. Cell salvage in obstetrics: an evaluation of the ability of cell salvage combined with leucocyte depletion filtration to remove amniotic fluid from operative blood loss at caesarean section. Int J Obstet Anesth. 1999;8:79-84. Epub 2004/08/24.

Marik PE, Corwin HL. Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature. Crit Care Med. 2008;36:2667-74. Epub 2008/08/06.

Simpson E, Lin Y, Stanworth S, Birchall J, Doree C, Hyde C. Recombinant factor VIIa for the prevention and treatment of bleeding in patients without haemophilia. Cochrane Database Syst Rev. 2012;3:CD005011. Epub 2012/03/16.

Marti-Carvajal AJ, Comunian-Carrasco G, Pena-Marti GE. Haematological interventions for treating disseminated intravascular coagulation during pregnancy and postpartum. Cochrane Database Syst Rev. 2011(3):CD008577. Epub 2011/03/18.

Inaba K, Teixeira PG, Shulman I, Nelson J, Lee J, Salim A, et al. The impact of uncross-matched blood transfusion on the need for massive transfusion and mortality: analysis of 5,166 uncross-matched units. J Trauma. 2008;65:1222-6. Epub 2008/12/17.

Cortés A, Bolaños F. Reanimación con glóbulos rojos Rh positivo y sin prueba cruzada en emergencias médicas. Colomb Med. 2004;35:185-90.

Ball CG, Salomone JP, Shaz B, Dente CJ, Tallah C, Anderson K, et al. Uncrossmatched blood transfusions for trauma patients in the emergency department: incidence, outcomes and recommendations. Can J Surg. 2011;54:111-5. Epub 2011/01/22.

Kongnyuy EJ, Mlava G, van den Broek N. Using criteria-based audit to improve the management of postpartum haemorrhage in resource limited countries: a case study of Malawi. Matern Child Health J. 2009;13:873-8. Epub 2008/09/10.

Deneux-Tharaux C, Dupont C, Colin C, Rabilloud M, Touzet S, Lansac J, et al. Multifaceted intervention to decrease the rate of severe postpartum haemorrhage: the PITHAGORE6 cluster-randomised controlled trial. BJOG. 2010;117:1278-87. Epub 2010/06/25.

Birch L, Jones N, Doyle PM, Green P, McLaughlin A, Champney C, et al. Obstetric skills drills: evaluation of teaching methods. Nurse Educ Today. 2007;27:915-22. Epub 2007/03/23.

Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978-88. Epub 2011/09/09.

Publicado
2013-12-20
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Gómez Dávila JG, Osorio Castaño JH, Zuleta Tobón JJ, Londoño Cardona JG, Velásquez Penagos JA, Arévalo Rodríguez I, Gómez Sánchez PI, del Grupo R. Guía de práctica clínica para la prevención y el manejo de la hemorragia posparto y complicaciones del choque hemorrágico. Rev. Colomb. Obstet. Ginecol. [Internet]. 20 de diciembre de 2013 [citado 4 de agosto de 2021];64(4):425-52. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/91
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Artículo de Revisión