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Obstetrical Management of Postpartum Hemorrhage
Pages 1-14
This clinical casebook covers transfusion medicine theory and its practical implications for the obstetrical hemorrhage patient through the presentation of cases on actively bleeding patients. Each case features a unique clinical scenario involving a bleeding patient and outlines different aspects of safe and effective transfusion support. The cases contain current evidence on the latest topics in the field, such as the use of antifibrinolytic agents and coagulation factor concentrates in the setting of massive obstetrical hemorrhage. In addition to the actively bleeding patient, the casebook includes other important management topics, including the role of plasma exchange in thrombotic microangiopathies during pregnancy; treatment of hyperhemolysis in a patient with hemoglobinopathy; and recommended management of patients with red cell antibodies found on prenatal testing. Other immunohematology topics such as post-natal management of an RhD negative woman for the prevention of hemolytic disease of the newborn due to anti-Rh(D) are included.
Written by transfusion medicine, coagulation, obstetrical, and anesthesiology experts, Transfusion Management of the Obstetrical Patient: A Clinical Casebook is a concise yet comprehensive resource for anesthesiologists, obstetricians, pathologists, hematologists, and other practitioners who treat obstetrical hemorrhage patients.
Obstetrical Management of Postpartum Hemorrhage
Pages 1-14
Laboratory Testing and Predictors of Severe Postpartum Hemorrhage
Pages 15-21
Component Therapy in Obstetric Hemorrhage
Pages 23-37
Evidence for 1:1:1 Transfusion Support and Importance of a Hemorrhage Protocol
Pages 39-45
Evidence for/Against Administration of Antifibrinolytic Agents During an Obstetrical Hemorrhage
Pages 47-54
Evidence for/Against Administration of Fibrinogen Concentrate and Coagulation Factor Concentrate During an Obstetrical Hemorrhage
Pages 55-66
Recommendations on Blood Recovery in Obstetrics
Pages 67-72
Thrombocytopenia in Pregnancy
Pages 73-80
Von Willebrand Disease in Pregnancy
Pages 81-90
Platelet Count and Neuraxial Anesthesia
Pages 91-96
ABO Compatibility
Pages 97-101
RhD Compatibility
Pages 103-106
Other Rh Antibodies That Can Impact Transfusion
Pages 107-111
Importance of Getting a Sample for ABO Type Early in a Resuscitation
Pages 113-120
Risks of Giving Uncrossmatched Red Cells
Pages 121-129
Management of Thrombotic Microangiopathies in Pregnancy
Pages 131-153
Hyperhemolysis Syndrome in a Pregnant Woman with Sickle Cell Anemia
Pages 155-161
Fetal and Neonatal Alloimmune Thrombocytopenia
Pages 163-178
Weak D in Pregnancy
Pages 179-186
Testing Algorithm for Rh Immune Globulin Dosing in the Post-natal RhD-Negative Mother
Pages 187-192
Pre-transfusion Testing in Women with High Bleeding Risk Requiring Prolonged Hospitalization
Pages 193-199
Warm Autoantibodies During Pregnancy
Pages 201-206
Hemolytic Disease of the Fetus and Newborn/Selection of Red Cells for Intrauterine Transfusion
Pages 207-216
Maternal Red Cell Alloantibody Directed Against a High Incidence Antigen
Pages 217-222
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