Postpartum hemorrhage continues as an important cause of maternal death and in developing countries is the main cause. Any patient in labor has the possibility to present this accident, but many factors supposedly increase this risk. The authors performed this review in order to establish recommendations for prevention and treatment based in the best evidences. They searched Cochrane Library, Medline, Lilacs, PubMed and Embase data bases. For recommendations on prevention and treatment they considered randomized clinical investigations or reviews. The authors consider the different existing definitions and emphasize the more than 500 mL blood loss as the most common one but whose clinical appreciation is commonly difficult. Most of the cases are due to uterine atony, placenta or fragments retention, and birth canal lacerations, and the well known associated factors, even though most preg...

OBJECTIVE: To report the vaginal hysterectomy technique in non-prolapsed uterus; adapted from the original technique of Peham-Amreicht and modified. DESIGN: Descriptive document in 8 consecutive steps of the surgical technique, documented with photographs of each step. The description includes the right position for the surgery, the special instruments required, the surgical assistant's role and the preparation for the surgery. PLACE. Centro Hospitalario Pereira Rossell, Clínica Ginecotocológica "C", Prof. Dr. José Carlos Cuadro. CONCLUSIÓN: The vaginal hysterectomy in non-prolapsed uterus is a simple, echeloned and easily reproducible technique.

Postpartum hemorrhage continues as an important cause of maternal death and in developing countries is the main cause. Any patient in labor has the possibility to present this accident, but many factors supposedly increase this risk. The authors performed this review in order to establish recommendations for prevention and treatment based in the best evidences. They searched Cochrane Library, Medline, Lilacs, PubMed and Embase data bases. For recommendations on prevention and treatment they considered randomized clinical investigations or reviews. The authors consider the different existing definitions and emphasize the more than 500 mL blood loss as the most common one but whose clinical appreciation is commonly difficult. Most of the cases are due to uterine atony, placenta or fragments retention, and birth canal lacerations, and the well known associated factors, even though most preg...

OBJECTIVE: To report the vaginal hysterectomy technique in non-prolapsed uterus; adapted from the original technique of Peham-Amreicht and modified. DESIGN: Descriptive document in 8 consecutive steps of the surgical technique, documented with photographs of each step. The description includes the right position for the surgery, the special instruments required, the surgical assistant's role and the preparation for the surgery. PLACE. Centro Hospitalario Pereira Rossell, Clínica Ginecotocológica "C", Prof. Dr. José Carlos Cuadro. CONCLUSIÓN: The vaginal hysterectomy in non-prolapsed uterus is a simple, echeloned and easily reproducible technique.