Maternal mortality in the United States: predictability and the impact of protocols on fatal postcesarean pulmonary embolism and hypertension-related.

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Presentation transcript:

Maternal mortality in the United States: predictability and the impact of protocols on fatal postcesarean pulmonary embolism and hypertension-related intracranial hemorrhage Steven L. Clark, MD, James T. Christmas, MD, Donna R. Frye, RN, Janet A. Meyers, RN, Jonathan B. Perlin, MD, PhD American Journal of Obstetrics & Gynecology Volume 211, Issue 1, Pages 32.e1-32.e9 (July 2014) DOI: 10.1016/j.ajog.2014.03.031 Copyright © 2014 Terms and Conditions

Figure 1 Blood pressure management of severe intrapartum or postpartum hypertension with hydralazine Checklist. IV, intravenously; q, every. Clark. Maternal mortality in the United States. Am J Obstet Gynecol 2014. American Journal of Obstetrics & Gynecology 2014 211, 32.e1-32.e9DOI: (10.1016/j.ajog.2014.03.031) Copyright © 2014 Terms and Conditions

Figure 2 Blood pressure management of severe intrapartum or postpartum hypertension with labetalol Checklist. IV, intravenously; q, every. Clark. Maternal mortality in the United States. Am J Obstet Gynecol 2014. American Journal of Obstetrics & Gynecology 2014 211, 32.e1-32.e9DOI: (10.1016/j.ajog.2014.03.031) Copyright © 2014 Terms and Conditions

Figure 3 Recommended protocol for patients with postpartum hemorrhage Checklist. CBC, complete blood cell count; EBL, estimated blood loss; NS, normal saline solution; OB, obstetrician; PTT, partial thromboplastin time; RN, registered nurse; SpO2, oxygen saturation; STAT, immediately; T&C, type and crossmatch. Clark. Maternal mortality in the United States. Am J Obstet Gynecol 2014. American Journal of Obstetrics & Gynecology 2014 211, 32.e1-32.e9DOI: (10.1016/j.ajog.2014.03.031) Copyright © 2014 Terms and Conditions

Figure 3 Recommended protocol for patients with postpartum hemorrhage Checklist. CBC, complete blood cell count; EBL, estimated blood loss; NS, normal saline solution; OB, obstetrician; PTT, partial thromboplastin time; RN, registered nurse; SpO2, oxygen saturation; STAT, immediately; T&C, type and crossmatch. Clark. Maternal mortality in the United States. Am J Obstet Gynecol 2014. American Journal of Obstetrics & Gynecology 2014 211, 32.e1-32.e9DOI: (10.1016/j.ajog.2014.03.031) Copyright © 2014 Terms and Conditions