Skip to main content

2016 | OriginalPaper | Buchkapitel

41. Pathologie der Plazentarperiode

verfasst von : Christoph Brezinka, Wolfgang Henrich

Erschienen in: Die Geburtshilfe

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Plazentarperiode ist für die Mutter die gefährlichste Phase während der gesamten Schwangerschaft, Geburt und Wochenbett. Uterusatonie mit oder ohne Plazentaretention sowie Rissverletzungen der Geburtswege sind die Hauptursachen für hohe Blutverluste, die unverzüglich operative und medikamentöse Maßnahmen erforderlich machen können.
Wesentliche ist die Prävention: Genaue Anamnese, Ultraschalldiagnostik im Rahmen der Schwangerschaftsvorsorge, Einschätzung eines Blutungsrisikos, rechtzeitige Vorbereitung auf einen erhöhten Blutverlust können das Risiko minimieren und überraschenden Blutungsnotfällen vorbeugen.
Eine einfache Maßnahme zur Verringerung des Blutverlustes ist die aktive Leitung der Nachgeburtsperiode mit i.v. Applikation von Oxytozin. Weitere Maßnahmen sind Überwachung von Kreislaufparametern und Lochialfluss der Wöchnerin sowie Bereithaltung von Uterotonika (Oxytozin, Prostaglandine) und einer evtl. notwendigen anästhesiologischen und operativen Interventionsmöglichkeit.
Literatur
Zurück zum Zitat ACOG (2006) ACOG practice bulletin: clinical management guidelines for obstetrician-gynecologists number 76, October 2006: postpartum hemorrhage. Obstet Gynecol 108:1039–1047CrossRef ACOG (2006) ACOG practice bulletin: clinical management guidelines for obstetrician-gynecologists number 76, October 2006: postpartum hemorrhage. Obstet Gynecol 108:1039–1047CrossRef
Zurück zum Zitat Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B (2008) Prevalence and risk factors of severe obstetric haemorrhage. BJOG 115:1265–1272CrossRefPubMed Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B (2008) Prevalence and risk factors of severe obstetric haemorrhage. BJOG 115:1265–1272CrossRefPubMed
Zurück zum Zitat Bakri YN, Amri A, Abdul JF (2001) Tamponade-balloon for obstetrical bleeding. Int J Gynaecol Obstet 74:139–142CrossRefPubMed Bakri YN, Amri A, Abdul JF (2001) Tamponade-balloon for obstetrical bleeding. Int J Gynaecol Obstet 74:139–142CrossRefPubMed
Zurück zum Zitat Baskett T (1999) Essential management of obstetric emergencies. Clinical Press, Bristol Baskett T (1999) Essential management of obstetric emergencies. Clinical Press, Bristol
Zurück zum Zitat Bateman BT, Mhyre JM, Callaghan WM, Kuklina EV (2012) Peripartum hysterectomy in the United States: nationwide 14 year experience. Am J Obstet Gynecol 206:63–68PubMed Bateman BT, Mhyre JM, Callaghan WM, Kuklina EV (2012) Peripartum hysterectomy in the United States: nationwide 14 year experience. Am J Obstet Gynecol 206:63–68PubMed
Zurück zum Zitat Begley CM, Gyte GM, Devane D, McGuire W, Weeks A (2011) Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev CD007412 Begley CM, Gyte GM, Devane D, McGuire W, Weeks A (2011) Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev CD007412
Zurück zum Zitat Berkley EM, Abuhamad AZ (2013) Prenatal diagnosis of placenta accreta: is sonography all we need? J Ultrasound Med 32:1345–1350CrossRefPubMed Berkley EM, Abuhamad AZ (2013) Prenatal diagnosis of placenta accreta: is sonography all we need? J Ultrasound Med 32:1345–1350CrossRefPubMed
Zurück zum Zitat B-Lynch C, Keith LG, Lalonde AB, Karoshi M (2006) A Textbook of Postpartum Haemorrhage - a comprehensive guide to evaluation, management and surgical intervention. Sapiens Publications, Duncow B-Lynch C, Keith LG, Lalonde AB, Karoshi M (2006) A Textbook of Postpartum Haemorrhage - a comprehensive guide to evaluation, management and surgical intervention. Sapiens Publications, Duncow
Zurück zum Zitat Bonnar J (2000) Massive obstetric haemorrhage. Baillieres Best Pract Res Clin Obstet Gynaecol 14:1–18CrossRefPubMed Bonnar J (2000) Massive obstetric haemorrhage. Baillieres Best Pract Res Clin Obstet Gynaecol 14:1–18CrossRefPubMed
Zurück zum Zitat Bose P, Regan F, Paterson-Brown S (2006) Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG 113:919–924CrossRefPubMed Bose P, Regan F, Paterson-Brown S (2006) Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG 113:919–924CrossRefPubMed
Zurück zum Zitat Cantwell R, Clutton-Brock T, Cooper G, Dawson A, Drife J, Garrod D, Harper A, Hulbert D, Lucas S, McClure J, Millward-Sadler H, Neilson J, Nelson-Piercy C, Norman J, O'Herlihy C, Oates M, Shakespeare J, de Swiet M, Williamson C, Beale V, Knight M, Lennox C, Miller A, Parmar D, Rogers J, Springett A (2011) Saving mothers' lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom. BJOG 118(Suppl 1):1–203PubMed Cantwell R, Clutton-Brock T, Cooper G, Dawson A, Drife J, Garrod D, Harper A, Hulbert D, Lucas S, McClure J, Millward-Sadler H, Neilson J, Nelson-Piercy C, Norman J, O'Herlihy C, Oates M, Shakespeare J, de Swiet M, Williamson C, Beale V, Knight M, Lennox C, Miller A, Parmar D, Rogers J, Springett A (2011) Saving mothers' lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom. BJOG 118(Suppl 1):1–203PubMed
Zurück zum Zitat Chantraine F, Langhoff-Roos J (2013) Abnormally invasive placenta – AIP. Awareness and pro-active management is necessary. Acta Obstet Gynecol Scand 92:369–371CrossRefPubMed Chantraine F, Langhoff-Roos J (2013) Abnormally invasive placenta – AIP. Awareness and pro-active management is necessary. Acta Obstet Gynecol Scand 92:369–371CrossRefPubMed
Zurück zum Zitat Dapunt O, Schwarz P (1964) Inkomplette puerperale Uterusinversion mit konsekutiver Hypofibrinogenämie. Wien Klin Wochenschr 76:588–595PubMed Dapunt O, Schwarz P (1964) Inkomplette puerperale Uterusinversion mit konsekutiver Hypofibrinogenämie. Wien Klin Wochenschr 76:588–595PubMed
Zurück zum Zitat Desai M, Phillips-Howard PA, Odhiambo FO, Katana A, Ouma P, Hamel MJ, Omoto J, Macharia S, van Eijk A, Ogwang S, Slutsker L, Laserson KF (2013) An analysis of pregnancy-related mortality in the KEMRI/CDC health and demographic surveillance system in western Kenya. PLoS One 8:e68733CrossRefPubMedPubMedCentral Desai M, Phillips-Howard PA, Odhiambo FO, Katana A, Ouma P, Hamel MJ, Omoto J, Macharia S, van Eijk A, Ogwang S, Slutsker L, Laserson KF (2013) An analysis of pregnancy-related mortality in the KEMRI/CDC health and demographic surveillance system in western Kenya. PLoS One 8:e68733CrossRefPubMedPubMedCentral
Zurück zum Zitat Dupont C, Rudigoz RC, Cortet M, Touzet S, Colin C, Rabilloud M, Lansac J, Harvey T, Tessier V, Chauleur C, Pennehouat G, Morin X, Bouvier-Colle MH, Deneux-Tharaux C (2014) Incidence, étiologies et facteurs de risque de l'hémorragie du post-partum: étude en population dans 106 maternités françaises. J Gynecol Obstet Biol Reprod (Paris) 43(3):244–253CrossRef Dupont C, Rudigoz RC, Cortet M, Touzet S, Colin C, Rabilloud M, Lansac J, Harvey T, Tessier V, Chauleur C, Pennehouat G, Morin X, Bouvier-Colle MH, Deneux-Tharaux C (2014) Incidence, étiologies et facteurs de risque de l'hémorragie du post-partum: étude en population dans 106 maternités françaises. J Gynecol Obstet Biol Reprod (Paris) 43(3):244–253CrossRef
Zurück zum Zitat Fransen AF, van de Ven J, Merien AE, de Wit-Zuurendonk LD, Houterman S, Mol BW, Oei SG (2012) Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial. BJOG 119:1387–1393CrossRefPubMed Fransen AF, van de Ven J, Merien AE, de Wit-Zuurendonk LD, Houterman S, Mol BW, Oei SG (2012) Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial. BJOG 119:1387–1393CrossRefPubMed
Zurück zum Zitat Gandhi P, Singh S, Farkas A (2009) Group B streptococcal necrotising fasciitis following normal vaginal delivery. J Obstet Gynaecol 29:554CrossRefPubMed Gandhi P, Singh S, Farkas A (2009) Group B streptococcal necrotising fasciitis following normal vaginal delivery. J Obstet Gynaecol 29:554CrossRefPubMed
Zurück zum Zitat Gizzo S, Saccardi C, Patrelli TS, Di GS, Breda E, Fagherazzi S, Noventa M, D'Antona D, Nardelli GB (2013a) Fertility rate and subsequent pregnancy outcomes after conservative surgical techniques in postpartum hemorrhage: 15 years of literature. Fertil Steril 99:2097–2107CrossRefPubMed Gizzo S, Saccardi C, Patrelli TS, Di GS, Breda E, Fagherazzi S, Noventa M, D'Antona D, Nardelli GB (2013a) Fertility rate and subsequent pregnancy outcomes after conservative surgical techniques in postpartum hemorrhage: 15 years of literature. Fertil Steril 99:2097–2107CrossRefPubMed
Zurück zum Zitat Gizzo S, Saccardi C, Patrelli TS, Di GS, D'Antona D, Battista NG (2013b) Bakri balloon in vaginal-perineal hematomas complicating vaginal delivery: a new therapeutic approach. J Low Genit Tract Dis 17:125–128CrossRefPubMed Gizzo S, Saccardi C, Patrelli TS, Di GS, D'Antona D, Battista NG (2013b) Bakri balloon in vaginal-perineal hematomas complicating vaginal delivery: a new therapeutic approach. J Low Genit Tract Dis 17:125–128CrossRefPubMed
Zurück zum Zitat Glaze S, Ekwalanga P, Roberts G, Lange I, Birch C, Rosengarten A, Jarrell J, Ross S (2008) Peripartum hysterectomy: 1999 to 2006. Obstet Gynecol 111:732–738CrossRefPubMed Glaze S, Ekwalanga P, Roberts G, Lange I, Birch C, Rosengarten A, Jarrell J, Ross S (2008) Peripartum hysterectomy: 1999 to 2006. Obstet Gynecol 111:732–738CrossRefPubMed
Zurück zum Zitat Grady K, Howell C, Cox C (2007) Managing obstetric emergencies and trauma, 2. Aufl. Cambridge University Press, Cambridge Grady K, Howell C, Cox C (2007) Managing obstetric emergencies and trauma, 2. Aufl. Cambridge University Press, Cambridge
Zurück zum Zitat Hardeman S, Decroisette E, Marin B, Vincelot A, Aubard Y, Pouquet M, Maubon A (2010) Fertility after embolization of the uterine arteries to treat obstetrical hemorrhage: a review of 53 cases. Fertil Steril 94:2574–2579CrossRefPubMed Hardeman S, Decroisette E, Marin B, Vincelot A, Aubard Y, Pouquet M, Maubon A (2010) Fertility after embolization of the uterine arteries to treat obstetrical hemorrhage: a review of 53 cases. Fertil Steril 94:2574–2579CrossRefPubMed
Zurück zum Zitat Henrich W, Surbek D, Kainer F, Grottke O, Hopp H, Kiesewetter H, Koscielny J, Maul H, Schlembach D, von Tempelhoff GF, Rath W (2008) Diagnosis and treatment of peripartum bleeding. J Perinat Med 36:467–478CrossRefPubMed Henrich W, Surbek D, Kainer F, Grottke O, Hopp H, Kiesewetter H, Koscielny J, Maul H, Schlembach D, von Tempelhoff GF, Rath W (2008) Diagnosis and treatment of peripartum bleeding. J Perinat Med 36:467–478CrossRefPubMed
Zurück zum Zitat Hofmeyr GJ, Gulmezoglu AM (2008) Misoprostol for the prevention and treatment of postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol 22:1025–1041CrossRefPubMed Hofmeyr GJ, Gulmezoglu AM (2008) Misoprostol for the prevention and treatment of postpartum haemorrhage. Best Pract Res Clin Obstet Gynaecol 22:1025–1041CrossRefPubMed
Zurück zum Zitat Hundley VA, Avan BI, Sullivan CJ, Graham WJ (2013) Should oral misoprostol be used to prevent postpartum haemorrhage in home-birth settings in low-resource countries? A systematic review of the evidence. BJOG 120:277–285CrossRefPubMed Hundley VA, Avan BI, Sullivan CJ, Graham WJ (2013) Should oral misoprostol be used to prevent postpartum haemorrhage in home-birth settings in low-resource countries? A systematic review of the evidence. BJOG 120:277–285CrossRefPubMed
Zurück zum Zitat Ibrahim SM, Mustafa E, Louon A (2008) Postpartum severe sinus bradycardia following methylergonovine administration. J Int Med Res 36:1129–1133CrossRefPubMed Ibrahim SM, Mustafa E, Louon A (2008) Postpartum severe sinus bradycardia following methylergonovine administration. J Int Med Res 36:1129–1133CrossRefPubMed
Zurück zum Zitat Katesmark M, Brown R, Raju KS (1994) Successful use of a Sengstaken-Blakemore tube to control massive postpartum haemorrhage. Br J Obstet Gynaecol 101:259–260CrossRefPubMed Katesmark M, Brown R, Raju KS (1994) Successful use of a Sengstaken-Blakemore tube to control massive postpartum haemorrhage. Br J Obstet Gynaecol 101:259–260CrossRefPubMed
Zurück zum Zitat Katz MD, Sugay SB, Walker DK, Palmer SL, Marx MV (2012) Beyond hemostasis: spectrum of gynecologic and obstetric indications for transcatheter embolization. Radiographics 32:1713–1731CrossRefPubMed Katz MD, Sugay SB, Walker DK, Palmer SL, Marx MV (2012) Beyond hemostasis: spectrum of gynecologic and obstetric indications for transcatheter embolization. Radiographics 32:1713–1731CrossRefPubMed
Zurück zum Zitat Khan RU, El-Refaey H, Sharma S, Sooranna D, Stafford M (2004) Oral, rectal, and vaginal pharmacokinetics of misoprostol. Obstet Gynecol 103:866–870CrossRefPubMed Khan RU, El-Refaey H, Sharma S, Sooranna D, Stafford M (2004) Oral, rectal, and vaginal pharmacokinetics of misoprostol. Obstet Gynecol 103:866–870CrossRefPubMed
Zurück zum Zitat Krapp M, Axt-Fliedner R, Berg C, Geipel A, Germer U, Gembruch U (2007) Clinical application of grey scale and colour Doppler sonography during abnormal third stage of labour. Ultraschall Med 28:63–66CrossRefPubMed Krapp M, Axt-Fliedner R, Berg C, Geipel A, Germer U, Gembruch U (2007) Clinical application of grey scale and colour Doppler sonography during abnormal third stage of labour. Ultraschall Med 28:63–66CrossRefPubMed
Zurück zum Zitat Laas E, Bui C, Popowski T, Mbaku OM, Rozenberg P (2012) Trends in the rate of invasive procedures after the addition of the intrauterine tamponade test to a protocol for management of severe postpartum hemorrhage. Am J Obstet Gynecol 207:281–287CrossRefPubMed Laas E, Bui C, Popowski T, Mbaku OM, Rozenberg P (2012) Trends in the rate of invasive procedures after the addition of the intrauterine tamponade test to a protocol for management of severe postpartum hemorrhage. Am J Obstet Gynecol 207:281–287CrossRefPubMed
Zurück zum Zitat Lees C (2000) Operative interventions in obstetrics. In: Campbell S, Lees C (Hrsg) Obstetrics by ten teachers. Arnold, London, S 282–302 Lees C (2000) Operative interventions in obstetrics. In: Campbell S, Lees C (Hrsg) Obstetrics by ten teachers. Arnold, London, S 282–302
Zurück zum Zitat Lier H, Rath W (2011) Aktuelle interdisziplinäre Handlungsempfehlungen bei schweren peri(post)-partalen Blutungen (PPH). Geburtsh Frauenheilkd 71:577–588CrossRef Lier H, Rath W (2011) Aktuelle interdisziplinäre Handlungsempfehlungen bei schweren peri(post)-partalen Blutungen (PPH). Geburtsh Frauenheilkd 71:577–588CrossRef
Zurück zum Zitat Lin Y, Moltzan CJ, Anderson DR (2012) The evidence for the use of recombinant factor VIIa in massive bleeding: revision of the transfusion policy framework. Transfus Med 22:383–394CrossRefPubMedPubMedCentral Lin Y, Moltzan CJ, Anderson DR (2012) The evidence for the use of recombinant factor VIIa in massive bleeding: revision of the transfusion policy framework. Transfus Med 22:383–394CrossRefPubMedPubMedCentral
Zurück zum Zitat Loudon I (1992) Death in childbirth. An international study of maternal care and maternal mortality (1850–1950). Oxford University Press, OxfordCrossRef Loudon I (1992) Death in childbirth. An international study of maternal care and maternal mortality (1850–1950). Oxford University Press, OxfordCrossRef
Zurück zum Zitat Matsubara S, Yano H, Ohkuchi A, Kuwata T, Usui R, Suzuki M (2013) Uterine compression sutures for postpartum hemorrhage: an overview. Acta Obstet Gynecol Scand 92:378–385CrossRefPubMed Matsubara S, Yano H, Ohkuchi A, Kuwata T, Usui R, Suzuki M (2013) Uterine compression sutures for postpartum hemorrhage: an overview. Acta Obstet Gynecol Scand 92:378–385CrossRefPubMed
Zurück zum Zitat McDonald S, Abbott JM, Higgins SP. 2004. Prophylactic ergometrine-oxytocin versus oxytocin for the third stage of labour. Cochrane Database Syst Rev CD000201 McDonald S, Abbott JM, Higgins SP. 2004. Prophylactic ergometrine-oxytocin versus oxytocin for the third stage of labour. Cochrane Database Syst Rev CD000201
Zurück zum Zitat Merrick K, Jibodu OA, Rajesh U (2013) The difficult PPH: experience of combined use of B-Lynch brace suture and intrauterine Bakri balloon in York hospital, UK. J Obstet Gynaecol 33:314–315CrossRefPubMed Merrick K, Jibodu OA, Rajesh U (2013) The difficult PPH: experience of combined use of B-Lynch brace suture and intrauterine Bakri balloon in York hospital, UK. J Obstet Gynaecol 33:314–315CrossRefPubMed
Zurück zum Zitat Moertl MG, Friedrich S, Kraschl J, Wadsack C, Lang U, Schlembach D (2011) Haemodynamic effects of carbetocin and oxytocin given as intravenous bolus on women undergoing caesarean delivery: a randomised trial. BJOG 118:1349–1356CrossRefPubMed Moertl MG, Friedrich S, Kraschl J, Wadsack C, Lang U, Schlembach D (2011) Haemodynamic effects of carbetocin and oxytocin given as intravenous bolus on women undergoing caesarean delivery: a randomised trial. BJOG 118:1349–1356CrossRefPubMed
Zurück zum Zitat Oyelese Y, Smulian JC (2006) Placenta previa, placenta accreta, and vasa previa. Obstet Gynecol 107:927–941CrossRefPubMed Oyelese Y, Smulian JC (2006) Placenta previa, placenta accreta, and vasa previa. Obstet Gynecol 107:927–941CrossRefPubMed
Zurück zum Zitat Panda B, Laifer S, Stiller R, Kleinman G (2009) Primary atony of the lower uterine segment as a distinct cause of early postpartum haemorrhage: a case series and management recommendations. J Obstet Gynaecol 29:628–632CrossRefPubMed Panda B, Laifer S, Stiller R, Kleinman G (2009) Primary atony of the lower uterine segment as a distinct cause of early postpartum haemorrhage: a case series and management recommendations. J Obstet Gynaecol 29:628–632CrossRefPubMed
Zurück zum Zitat Peitsidis P, Kadir RA (2011) Antifibrinolytic therapy with tranexamic acid in pregnancy and postpartum. Expert Opin Pharmacother 12:503–516CrossRefPubMed Peitsidis P, Kadir RA (2011) Antifibrinolytic therapy with tranexamic acid in pregnancy and postpartum. Expert Opin Pharmacother 12:503–516CrossRefPubMed
Zurück zum Zitat Rath W (2012) Rekombinanter Faktor VIIa (rVIIa). Frauenarzt 53:334–342 Rath W (2012) Rekombinanter Faktor VIIa (rVIIa). Frauenarzt 53:334–342
Zurück zum Zitat Saito K, Haruki A, Ishikawa H, Takahashi T, Nagase H, Koyama M, Endo M, Hirahara F (2007) Prospective study of intramuscular ergometrine compared with intramuscular oxytocin for prevention of postpartum hemorrhage. J Obstet Gynaecol Res 33:254–258CrossRefPubMed Saito K, Haruki A, Ishikawa H, Takahashi T, Nagase H, Koyama M, Endo M, Hirahara F (2007) Prospective study of intramuscular ergometrine compared with intramuscular oxytocin for prevention of postpartum hemorrhage. J Obstet Gynaecol Res 33:254–258CrossRefPubMed
Zurück zum Zitat Schmid BC, Rezniczek GA, Rolf N, Saade G, Gebauer G, Maul H (2013) Uterine packing with chitosan-covered gauze for control of postpartum hemorrhage. Am J Obstet Gynecol 209:225.e1CrossRef Schmid BC, Rezniczek GA, Rolf N, Saade G, Gebauer G, Maul H (2013) Uterine packing with chitosan-covered gauze for control of postpartum hemorrhage. Am J Obstet Gynecol 209:225.e1CrossRef
Zurück zum Zitat Sheiner E, Levy A, Katz M, Mazor M (2003) Identifying risk factors for peripartum cesarean hysterectomy. A population-based study. J Reprod Med 48:622–626PubMed Sheiner E, Levy A, Katz M, Mazor M (2003) Identifying risk factors for peripartum cesarean hysterectomy. A population-based study. J Reprod Med 48:622–626PubMed
Zurück zum Zitat Sheldon WR, Durocher J, Winikoff B, Blum J, Trussell J (2013) How effective are the components of active management of the third stage of labor? BMC Pregnancy Childbirth 13:46CrossRefPubMedPubMedCentral Sheldon WR, Durocher J, Winikoff B, Blum J, Trussell J (2013) How effective are the components of active management of the third stage of labor? BMC Pregnancy Childbirth 13:46CrossRefPubMedPubMedCentral
Zurück zum Zitat Smulian JC, Defulvio JD, Diven L, Terrazas JL (2013) Sonographic findings in acute uterine inversion. J Clin Ultrasound 41:453–456CrossRefPubMed Smulian JC, Defulvio JD, Diven L, Terrazas JL (2013) Sonographic findings in acute uterine inversion. J Clin Ultrasound 41:453–456CrossRefPubMed
Zurück zum Zitat Su LL, Chong YS, Samuel M (2012) Carbetocin for preventing postpartum haemorrhage. Cochrane Database Syst Rev 4:CD005457PubMed Su LL, Chong YS, Samuel M (2012) Carbetocin for preventing postpartum haemorrhage. Cochrane Database Syst Rev 4:CD005457PubMed
Zurück zum Zitat Timmermans S, van Hof AC, Duvekot JJ (2007) Conservative management of abnormally invasive placentation. Obstet Gynecol Surv 62:529–539CrossRefPubMed Timmermans S, van Hof AC, Duvekot JJ (2007) Conservative management of abnormally invasive placentation. Obstet Gynecol Surv 62:529–539CrossRefPubMed
Zurück zum Zitat Yoong W, Ridout A, Memtsa M, Stavroulis A, Aref-Adib M, Ramsay-Marcelle Z, Fakokunde A (2012) Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage. Acta Obstet Gynecol Scand 91:147–151CrossRefPubMed Yoong W, Ridout A, Memtsa M, Stavroulis A, Aref-Adib M, Ramsay-Marcelle Z, Fakokunde A (2012) Application of uterine compression suture in association with intrauterine balloon tamponade ('uterine sandwich') for postpartum hemorrhage. Acta Obstet Gynecol Scand 91:147–151CrossRefPubMed
Zurück zum Zitat Zimmerman R (2012) Handbuch Geburtshilfe, 2. Aufl. Eigenverlag, Zürich Zimmerman R (2012) Handbuch Geburtshilfe, 2. Aufl. Eigenverlag, Zürich
Metadaten
Titel
Pathologie der Plazentarperiode
verfasst von
Christoph Brezinka
Wolfgang Henrich
Copyright-Jahr
2016
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-45064-2_40