Prevention strategies during pregnancy

This chapter deals with how to reduce, before delivery, postpartum hemorrhage. The strategy is explained for two risk levels, high and low. Means of prevention such as: logistical organisation; oral and parenteral iron therapy; erythropoietin; autologous blood transfusion; acute hemodilution; transfusion; bleeding disorders treatment; hospitalization, tocolysis, choice of mode of delivery, caesarean section and anaesthetic techniques for placenta praevia or accreta; interest of corticosteroids therapy and magnesium sulfate bleeding risks in severe pre-eclampsia, are addressed in turn. The chapter closes with professional recommendations ranked according levels of evidence founded in the literature.

Published by Journal de gynecologie, obstetrique et biologie de la reproduction, 2004. The guideline itself is at the source linked here.

pubmed.ncbi.nlm.nih.gov/15577728/