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Article citations


American Academy of Pediatrics and American College of Obstetricians and Gynecologists (2007) Guidelines for Perinatal Care. 6th Edition, American Academy of Pediatrics and the American College of Obstetricians and Gynecologists; Washington DC.

has been cited by the following article:

  • TITLE: A Survey of Current Treatment Practices for Postpartum Hemorrhage by Practicing Obstetricians and Hematologists

    AUTHORS: Elizabeth W. Triche, Mark J. Wehrum, Michael J. Paidas

    KEYWORDS: Postpartum Hemorrhage; Physician Survey; Recombinant Factor VIIa; Clinical Management

    JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.4 No.6, April 15, 2014

    ABSTRACT: Objective: To identify current treatment strategies for postpartum hemorrhage used by obstetricians (OB/GYNs) and hematologists (HEMs). Study Design: We conducted a survey of OB/GYNs (n = 220) and HEMs (n = 30) to describe the characteristics of current treatment strategies for postpartum hemorrhage. Surveys were administered via a structured questionnaire on a secure internet website from 5 - 12 October 2009. Results: The majority of OB/GYN and HEM respondents were practicing in a community hospital environment (77%). Of the OB/GYNs, the majority practiced at hospitals with over 2000 deliveries per year (77%). A majority (58%) of OB/GYNs were affiliated with hospitals that lacked a massive transfusion protocol to treat severe postpartum hemorrhage. Subsequent to uterine massage and additional oxytocin, the majority of OB/GYNs (73%), preferred the administration of Methergine? as the next level of intervention for postpartum hemorrhage. There was considerable variability in response to specific treatment strategies for several hypothetical case scenarios; however, the large majority of OB/GYNs favored obstetrical procedures over interventional radiology or administration of rFVIIa. A large majority (77%) of physicians who are familiar with rRVIIa as treatment for postpartum hemorrhage reported being very satisfied with the agent for this indication. Conclusions: An established, systematic treatment strategy among OB/GYNs emerged only in the case of mild postpartum hemorrhage.