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Postpartum Hemorrhage and Retained Placenta

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, arms extended
Time : 30-60 min (short)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Aspiration risk / Full stomach, High Blood Loss, Pregnancy / Obstetric, Breastfeeding, Arterial line, Central line

Anesthetic Approaches

1GETT
2Epidural
3Spinal
The Surgery

Examination under anesthesia - The uterus, cervix and vagina are examined directly to find the source: a boggy atonic uterus, retained placental tissue sitting in the cavity, or a laceration of the...

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