Date of Award

2019

Document Type

Restricted Access Thesis

Degree Name

MS in Physician Assistant Studies (PA)

Department

Physician Assistant Studies

First Advisor

Skye Peltier

Abstract

Back ground: Post-partum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality in many countries. There are many risk factors leading to the development of PPH which can be identified early and PPH can be managed effectively. Methods: A literature search was done to predict the risk factors for development of PPH. Studies were compared to understand if the stratification of the major risk factors leads to the better management of PPH. Studies we focused on were primarily determining the risk factors for PPH, causes of PPH, and guidelines for management of PPH. The different assessment tools for risk estimation of PPH were also explored to identify if they are helpful in the management of PPH. Results: Majority of studies determined uterine atony, previous history of PPH, history of bleeding disorders or anticoagulation as the major risk factors for PPH. The factors leading to the development for atonic uterus were also identified. Estimation of the risk factors in advance definitely helps the health care team to prepare and develop an interdisciplinary approach if required. Conclusion: Risk stratification is helpful in managing PPH effectively. Relying solely on risk factor identification does not eliminate PPH and thus a wide radar should be kept as PPH can occur even without risk factors.

Identifier

SC 11.PAS.2019.Sundarbo.K

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