CHRISTOPHER B.LYNCH - LOUIS G. KEITH
ANDRÉ B. LALONDE - MAHANTESH KAROSHI
A TEXTBOOK OF POSTPARTUM HEMORRHAGE
(GIÁO TRÌNH VỀ BĂNG HUYẾT SAU SINH)
PUBLISHER: SAPIENS PUBLISHING (OCTOBER 2006)
THÔNG TIN CHUNG:
Tiêu đề sách: A Textbook of Postpartum Hemorrhage (tạm dịch: Giáo trình về băng huyết sau sinh)
Tác giả: Christopher B.Lynch - Louis G. Keith - André B. Lalonde - Mahantesh Karoshi
NXB: Sapiens Publishing (10/2006)
Số trang: 497
Cuốn
sách được chia làm mười phần đề cập chi tiết về tình trạng băng huyết
sau sinh - một tai biến đáng sợ đối với các sản phụ và bác sĩ sản khoa,
từ nguyên nhân, mức độ nguy hiểm cho tới phương pháp xử lý cũng như
phòng tránh rủi ro này....
INTRODUCTION (GIỚI THIỆU):
This
book, launched at the Presidential Symposium at the XVIII World
Congress of the International Federation of Gynecology and Obstetrics
(FIGO) In 2006 in Kuala Lumpur, Malaysia, marks an important day in the
battle for improved treatment possibilities for postpartum hemorrhage.
Beginning in October 2003 at the World Congress in Santiago, Chile, FIGO
launched an international effort with other partners and donors to
develop strategies to prevent postpartum hemorrhage and, in the cases
where it still occurred, to identify effective medical and surgical
treatments.
There
is no controversy about the need for prevention and treatment of
postpartum hemorrhage. Recent evidence from the World Health
Organization strongly suggested that deaths due to postpartum hemorrhage
were underestimated and could reach as high as 40% of all maternal
mortality in some African countries as well as South Africa, South-East
Asia and Latin America. Indeed, postpartum hemorrhage is the cause of
close to 50% of maternal mortality in Guatemala and Afghanistan.
In
the last 25 years, the world has seen only minimal progress in
low-resource countries to reduce the incidence of postpartum hemorrhage
and the resulting maternal mortality and morbidity. This new book is
part of a world-wide effort to prevent postpartum hemorrhage and offer
new perspectives in the medical and surgical treatment options. The
first and foremost problem that is addressed is the lack of definition
and the difficulty in assessing blood loss during delivery. Amazing as
it may sound, blood loss is most often underestimated, and the clinical
evaluation is very inaccurate.
In
the second section of the book, causation is presented, from basic
physiology to obstetric trauma. The third section discusses the entire
issue of prevention, with an excellent description of the active
management of the third stage of labor and how this initiative,
undertaken by a number of partners, including the International
Confederation of Midwives (ICM), FIGO and the Prevention of Postpartum
Haemorrhage Initiative (POPPHI), is beginning to make a difference in
many countries. Misoprostol and its use for prevention and treatment are
outlined and this will bring the discussion to the forefront on why
this low-cost alternative is not more widely used.
Lacerations
and trauma following spontaneous instrument delivery are highlighted as
well as the management of adherent placenta. Coagulation disorders and
disseminated intravascular coagulation are fully reviewed, with a strong
chapter on therapy with factor VIIa. Therapy for uterine atony is well
illustrated, with a proposal for a postpartum hemorrhage tray in order
for midwives and physicians to be prepared for this emergency. In
addition, the B-Lynch brace suture is described by the surgeon who first
demonstrated its utility. Other new procedures, such as intrauterine
tamponade and conservative surgical therapy, are also proposed in
detail, with a call for more clinical research about these possible
low-cost-effective therapies.
TABLE OF CONTENTS (MỤC LỤC) :
Section I: Demographic and logistical considerations
Section II: Causation
Section III: General preventive measures
Section IV: Special preventive measures: misoprostol in action
Section V: Hospital preparation
Section VI: Therapy for non-atonic conditions
Section VII: Therapy for atony
Section VIII: Consequences of postpartum hemorrhage
Section IX: Special experiences and unusual circumstances
Section X: National experiences
Index
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