Sabaratnam Arulkumaran

TL;DR: The effect of tranexamic acid on the risk of death from post-partum haemorrhage and hysterectomy was estimated to be low, and death due to bleeding was significantly reduced in women given tranExamic acid.

TL;DR: A systematic review of studies evaluating the success rates of treatment of major postpartum hemorrhage by uterine balloon tamponade, uterine compression sutures, pelvic devascularization, and arterial embolization found no evidence to suggest that any one method is better for the management of severe postpartUM hemorrhage.

TL;DR: Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed and should be tried before more complex interventions are used.

TL;DR: It was concluded that visual estimation of blood loss is inaccurate, especially at the extremes of MBL and that primary postpartum haemorrhage is not detected by visual estimationof blood loss, unless there are associated signs of haemodynamic instability.

TL;DR: The Triple‐P procedure is described—which involves perioperative placental localization and delivery of the fetus via transverse uterine incision above the upper border of the placenta; pelvic devascularization; and placental non‐separation with myometrial excision and reconstruction of the uterine wall—as a safe and effective alternative to conservative management or peripartum hysterectomy.