Hebamme 2017; 30(01): 45-51
DOI: 10.1055/s-0042-108556
Wochenbett
Postpartale Hämorrhagie
Hippokrates Verlag in Georg Thieme Verlag KG Stuttgart

Folgen der postpartalen Hämorrhagie und optimale Nachbetreuung der Frau

Ines Neukom
Hebamme BSc, Zürich
› Author Affiliations
Further Information

Publication History

Publication Date:
01 March 2017 (online)

Verschiedene Studien belegen die steigenden Raten an postpartalen Hämorrhagien (PPH). Der massive Blutverlust stellt ein schwerwiegendes Ereignis dar und kann zu tiefgreifenden physischen und psychischen Folgen führen, in gravierenden Fällen sogar tödlich verlaufen. In ihrer Bachelorarbeit stellt unsere Autorin anhand evidenzbasierter Literatur die Folgen einer PPH dar und legt Empfehlungen für die optimale Nachbetreuung der betroffenen Frau vor.

 
  • Literatur

  • 1 Ayers S, Pickering AD. Do women get posttraumatic stress disorder as a result of childbirth?. A prospective study of incidence. Birth 2001; 28 (2): 111-118
  • 2 Ayers S, Eagle A, Waring H. The effects of childbirth related PTSD on women and their relationship: a qualitative study. Psychology, Health and Medicine 2006; 11 (4): 389-398
  • 3 Beard JL, Hendricks MK, Perez EM, Murray-Kolb LE, Berg A, Vernon-Feagans L, Irlam J, Isaacs W, Sive A, Tomlinson M. Maternal iron deficiency anemia affects postpartum emotions and cognition. Journal of Nutrition 2005; 135: 267-272
  • 4 Beck CT. Birth trauma: In the eye of the beholder. Nursing Research 2004; 53 (1): 28-35
  • 5 Boyle M. Emergencies around childbirth: a handbook for midwifes. (2. Aufl.) London: Radcliffe Publishing; 2011
  • 6 Carroli G, Cuesta C, Abalos E, Gulmezoglu AM. Epidemiology of postpartum haemorrhage: a systematic review. Best Practice and Research Clinical Obstetrics & Gynaecology 2008; 22 (6): 999-1012
  • 7 Christoph P. Eisenmangelanämie in der Schwangerschaft. Gynäkologie 2012; 2: 18-22
  • 8 Corwin EJ, Murray-Kolb LE, Beard JL. Low hemoglobin level is a risk factor for postpartum depression. Journal of Nutrition 2003; 133: 4139-4142
  • 9 Elmir R, Schmied V, Wilkes L. Between life and death: women’s experiences of coming close to death, and surviving a severe postpartum haemorrhage and emergency hysterectomy. Midwifery 2012; 28: 228-235
  • 10 Feinberg E, Molitch M, Endres L, Peaceman A. The incidence of Sheehan‘s syndrome after obstetric hemorrhage. Fertility and Sterility 2005; 84: 975-979
  • 11 Gamble J, Creedy D. Psychological trauma symptoms of operative birth. Brithish Journal of Midwifery 2005; 13 (4): 218-224
  • 12 Grajeda R, Perez-Escamilla R. Stress during labor and delivery is associated with delayed onset of lactation among urban Guatemalan women. Journal of Nutrition 2002; 132: 3055-3060
  • 13 Haeri S, Dildy DA. Maternal mortality from hemorrhage. Seminars in Perinatology 2012; 36: 48-55
  • 14 Hösli I, Gezer-Dickschat S. Postpartale Hämorrhagie. Hebamme.ch 2014; 9: 4
  • 15 Hösli I, Vökt C, Lapaire O, Girard T, Gisin S. Skript Geburtshilfliche Notfälle. 2014
  • 16 Huch R, Schaefer R. Iron Deficiency and Iron Deficiency Anemia. Stuttgart: Thieme; 2006
  • 17 Mächler A, Wettstein S. Postpartale Hämorrhagie nach Geburtseinleitung – Gefahr oder Mythos?. Empfehlungen zur Überwachung des mütterlichen Blutverlustes nach einer Geburtseinleitung. Bachelorarbeit ZHAW, Departement Gesundheit. Winterthur: 2014
  • 18 Mehrabadi A, Hutcheteon JA, Lee L, Liston RM, Joseph KS. Trends in post-partum hemorrhage from 2000 to 2009: a population-based study. BMC Preg-nancy Childbirth 2012; 12: 108
  • 19 Meyer JW, Eichhorn KH, Vetter K, Christen S, Schleusner E, Klos A, Huch A, Huch R. Does recombinant human erythropoietin not only treat anemia but reduce postpartum (emotional) distress as well?. Journal of Perinatal Medicine 1995; 23: 99-109
  • 20 Mousa HA, Walkinshaw S. Major post-partum hemorrhage. Current Opinion in Obstetrics and Gynecology 2001; 13: 595-603
  • 21 Oyelese Y, Scorza WE, Mastrolia R, Smulian JC. Postpartum hemorrhage. Obstetrics & Gynecology 2007; 34 (3): 421-441
  • 22 Rath W, Friese K. Erkrankungen in der Schwangerschaft. Stuttgart: Thieme; 2009
  • 23 Rath W, Bohlmann MK. Postpartale Hämorrhagie, Prävention und Therapie. Der Gynäkologe 2011; 44: 538-548 doi: 10.1007/s00129-010-2739-6
  • 24 Reynolds JL. Posttraumatic stress disorder after childbirth: the phenomenon of traumatic birth. Canadian Medical Association Journal 1997; 156: 831-835
  • 25 Schlembach D, Mörtl MG, Girard T, Arzt W, Beinder E, Brezinka C, Chalubinski K, Fries D, Gogarten W, Hacke-löer BJ, Helmer H, Henrich W, Hösli I, Husslein P, Kainer F, Lang U, Pfanner G, Rath W, Schleussner E, Steiner H, Surbek D, Zimmermann R. Management der postpartalen Blutung (PPH). Der Anaesthesist 2014; 63: 234-242 doi:10.1007/s00101-014-2291-1
  • 26 Schrager S, Sabo L. Sheehan syndrome: a rare complication of postpartumhemorrhage. Journal of the American Board of Family Practice 2001; 14: 389-391
  • 27 Sentilhes L, Gromez A, Clavier E, Resch B, Descamps P, Marpeau L. Long-term psychological impact of severe postpartum hemorrhage. Acta obstetrica et gynecologica Scandinavica 2011; 90: 615-620 doi:10.1111/j.1600-0412.2011.01119.x
  • 28 Sheiner E. Bleeding During Pregnancy. London: Springer; 2011
  • 29 Snowdon C, Elbourne D, Forsey M, Alfirevic Z. Information-hungry and disempowered: a qualitative study of women and their partners’ experiences of severe postpartum haemorrhage. Midwifery 2012; 28: 791-799
  • 30 Surbek D, Irion O, Hess T, Drack G. 2009 Expertenbrief No. 26. Kommission Qualitätssicherung. Präsident Prof. Dr. Daniel Surbek. Aktuelle Therapieoptionen der postpartalen Hämorrhagie (aktualisierte Version vom 3.11.2009)
  • 31 Thompson JF, Heal LJ, Roberts CL, Ellwood DA. Women’s breastfeeding experiences following a significant primary postpartum haemorrhage: A multicenter cohort study. International Breastfeeding Journal 2010; 5: 5
  • 32 Thompson JF, Roberts CL, Ellwood DA. Emotional and physical health outcomes after significant primary post-partum haemorrhage (PPH): a multicenter cohort study. The Australian & New Zealand journal of obstetrics & gynaecology 2011; 51: 365-371 doi: 10.1111/j.1479-828X.2011.01317.x
  • 33 Thompson JF, Ford B, Raynes-Greenow CH, Roberts CL, Ellwood DA. Women’s Experiences of Care and Their Concerns and Needs Following a Significant Primary Postpartum Hemorrhage. Birth: Issues in Perinatal Care 2011; 38 (4): 327-335
  • 34 WHO. 2012 WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organisation. Heruntergeladen von http://apps.who.int/iris/bitstream/10665/75411/1/9789241548502_eng.pdf am 14.02.2015