Thromboelastography in the management of the obstetric patient
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https://doi.org/10.37980/im.journal.revcog.20222119Keywords:
thromboelastography, postpartum hemorrhage, maternal mortalityAbstract
Maternal mortality varies greatly worldwide, being higher in developing countries or in rural areas. Measures taken at the local and global level to reduce this gap and maternal mortality as such are invaluable, but despite the availability of the required technology and drugs, their use does not translate into a clear reduction in terms of deaths. One of the most prevalent conditions is postpartum hemorrhage, which ranks first in many countries and is cited as one of the top three causes worldwide.
There are many guidelines related to the management of postpartum hemorrhage, but most of them leave out or make little mention of the usefulness of an available and relatively inexpensive tool, thromboelastography. In this article we will discuss it, its strengths and weaknesses, as well as the role it can play in the management of the patient presenting with this condition.
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