PRACTICAL GUIDE TO MANAGEMENT OF POSTPARTUM HEMORRHAGE

This book covers many important aspects of management, which are not included commonly in articles on postpartum hemorrhage (PPH). My two Co-editors, Dr Preeti Nitsure-Deshpande and Dr Madhuri Mehendale have worked tirelessly to edit this book. All my authors who are experts in their own fields, have done an excellent job by contributing high-quality articles. I hope this book is helpful to all the practicing obstetricians because PPH is the most common cause of direct maternal mortality. More than 12,000 women die every year of PPH. We must take every effort to prevent, detect early and treat PPH to save lives of millions of women globally. Postpartum hemorrhage is the leading cause of maternal mortality in India. Maternal mortality in India has declined significantly from 437 per 100000 live births to 97 per 100000 live births by 2020. The Sustainable Development Goal for maternal mortality ratio set by the United Nations for 2030 seems tangible and attainable. It has been a remarkable trend of decline in maternal mortality ratio.However, there is a huge discrepancy in performance of various states with The 9 Empowered Action Group States and Assam still having a maternal mortality ratio of 137 per 100000 live births. Improving awareness and hence interventions in control and management of postpartum hemorrhage can go a long way in saving maternal lives. The author conceived the idea of this book with this aim in mind. This book highlights the medical and surgical management of postpartum hemorrhage. Many untouched areas like retained placenta, lacunae in estimation of blood loss have been clarified and role of modern interventions like artificial intelligence and intraoperative cell salvage have been elucidated. Thebook covers analysis of why mothers die of hemorrhage and proposed preventive strategies. It is truly a handbook for every practicing obstetrician to help maximize the golden hour.

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