Abstract
(Int J Obstet Anesth. 2019;37:106–117) The incidence of postpartum hemorrhage (PPH) continues to rise in many countries. Worldwide, PPH remains the most common cause of maternal death. Although most postpartum bleeding results from obstetric complications, the presence of hemostatic impairment can result in more excessive blood loss. The goal of this review was to summarize the evidence regarding coagulation profiles in women with PPH, describe how algorithms used in conjunction with point-of-care (POC) testing can provide timely information to assist clinicians with appropriate transfusion strategies during PPH, and describe how protocols developed for research studies could also have a positive impact on all patients with PPH.
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