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PLASTIC RECONSTRUCTIVE AND REGENERATIVE SURGERY

Recommendations

Blood Transfusion - 2 2019 (March-April)

Patient blood management in obstetrics: prevention and treatment of postpartum haemorrhage. A NATA consensus statement

Authors

Manuel Muñoz , Jakob Stensballe , Anne-Sophie Ducloy-Bouthors , Marie-Pierre Bonnet , Edoardo De Robertis , Ino Fornet , François Goffinet , Stefan Hofer , Wolfgang Holzgreve , Susana Manrique , Jacky Nizard , François Christory , Charles-Marc Samama , Jean-François Hardy

Key words: anaemia, bleeding, blood transfusion, haemostasis, iron deficiency, obstetrics, patient blood management, postpartum haemorrhage
DOI: 10.2450/2019.0245-18
Publication Date: 2019-01-22

Abstract

Patient blood management (PBM) is the timely application of evidence-informed medical and surgical concepts designed to maintain haemoglobin concentration, optimise haemostasis, and minimise blood loss in an effort to improve patient outcomes. The aim of this consensus statement is to provide recommendations on the prevention and treatment of postpartum haemorrhage as part of PBM in obstetrics. A multidisciplinary panel of physicians with expertise in obstetrics, anaesthesia, haematology, and transfusion medicine was convened by the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA) in collaboration with the International Federation of Gynaecology and Obstetrics (FIGO), the European Board and College of Obstetrics and Gynaecology (EBCOG), and the European Society of Anaesthesiology (ESA). Members of the task force assessed the quantity, quality and consistency of the published evidence, and formulated recommendations using the system developed by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) working group. The recommendations in this consensus statement are intended for use by clinical practitioners managing perinatal care of women in all settings, and by policy-makers in charge of decision making for the update of clinical practice in health care establishments.

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Authors

Manuel Muñoz - Perioperative Transfusion Medicine, Department of Surgical Specialities, Biochemistry and Inmunology, University of Málaga, Málaga, Spain; Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis, Paris, France (NATA)

Jakob Stensballe - Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis, Paris, France (NATA); Section for Transfusion Medicine, Capital Region Blood Bank, and Department of Anaesthesiology, Centre of Head and Orthopaedics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Anne-Sophie Ducloy-Bouthors - Department of Anesthesiology and Critical Care Medicine, Lille University Hospital, Lille, France

Marie-Pierre Bonnet - Department of Anaesthesia and Intensive Care Medicine, Cochin University Hospital, Paris, France

Edoardo De Robertis - Department of Neurosciences, Reproductive and Odontostomatologic Sciences, University Federico II, Naples, Italy; European Society of Anaesthesiology, Brussels, Belgium (ESA)

Ino Fornet - Deparment of Anesthesiology, University Hospital Puerta de Hierro, Madrid, Spain

François Goffinet - Department of Obstetrics and Gynecology, Port-Royal Maternity, Groupe Hospitalier Cochin-Broca-Hôtel Dieu, Assistance Publique des Hôpitaux de Paris, Paris, France

Stefan Hofer - Clinic for Anesthesiology, Intensive Care and Emergency Medicine I, Westpfalz Hospital, Kaiserslautern, Germany

Wolfgang Holzgreve - Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany; International Federation of Gynaecology and Obstetrics, London, UK (FIGO)

Susana Manrique - Deparment of Anesthesiology, University Hospital Vall d’Hebron, Barcelona, Spain

Jacky Nizard - Department of Obstetrics and Gynecology, Groupe Hospitalier Pitié Salpêtrière, Université Pierre et Marie Curie-Paris 6, Paris, France; European Board and College of Obstetrics and Gynaecology, Brussels, Belgium (EBCOG)

François Christory - Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis, Paris, France (NATA)

Charles-Marc Samama - Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis, Paris, France (NATA); Department of Anaesthesia and Intensive Care Medicine, Cochin University Hospital, Paris, France

Jean-François Hardy - Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis, Paris, France (NATA); Department of Anaesthesiology, Université de Montréal, Montreal, QC, Canada

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