Bleeding Disorders During Pregnancy

Dr. Jorge Hidalgo is a Professor of Critical Care and the Head of the Division of Critical Care at Karl Heusner Memorial Hospital in Belize, Central America. He is the President Elect of the World Federation of Societies of Critical Care and Intensive Care Medicine. He has won several awards with the highest recognition and the Director of the very prestigious ACP Review Course hosted by the Paraguay Society of Internal Medicine. Due to his outstanding contribution to the Society of Critical Care Medicine he received the Presidential Citation Award. And Global Safar Award, becoming the First Latin American Intensivist to get this Nomination. He is involved in numerous congresses and a well-recognized international speaker. Dr. Carlos Montufar-Rueda is the Head of the Obstetrics Intensive Care Unit of the "Dr. Arnulfo Arias M." Hospital Complex in Panama City, Panama. He is the creator and National Director of the Fellowship Program in Critical Care Obstetrics in Panama. He has written chapters in different texts on the subject of obstetric complications and obstetric intensive care. In addition, he has participated in clinical research studies, publishing papers in different International Medical Journals. Dr. Montufar-Rueda had an important participation in the creation and structuring of the Fundamental Critical Care Support: Obstetrics course, endorsed by the Society of Critical Care Medicine (SCCM). He is a member of SCCM, and is designated as the International Ambassador of Society of Maternal Fetal Medicine (SMFM). Dr. Montufar-Rueda has participated in countless international conferences as an exhibitor from 1997 to date. Dr. Javier Perez-Fernandez serves as Medical Director of the Critical Care Services at Baptist Hospital of Miami. He is a Clinical Associate Professor of Medicine at Florida International University, Herbert Wertheim College of Medicine and Professor Pulmonary and Critical Care Medicine at Larkin University, Miami-Dade Florida. He is the Secretary-General of the World Federation of Intensive Care.Dr. Perez-Fernandez manages a large group of critical care physicians, South Florida Critical Care Services, overseeing the operations of seven ICUs with over 350 beds. He has been a regional and national recognized leader during the COVID-19 pandemic with multiple TV and media appearances and consulting services for several national and international organizations. He has been directly involved in the development of Rapid Response Teams, technology implementation and “open ICU” models. He has lectured worldwide and author of many original publications with the Society of Critical Care Medicine.

• Part 1 Introduction1. Physiological hematologic changes in pregnancy2. Obstetrics hemorrhage and hypovolemic shockPart 2 First Trimester Bleeding3. AbortionPart 3 Ante and intrapartum hemorrhage4. Placental pathologies5. Uterine rupturePart 4 Post-Partum Hemorrhage6. Uterine atony7. Placenta accreta8. Uterine inversion9. Retained products of conception10. Hepatic rupturePart 5 Medical and surgical approach11. Blood component therapy and massive transfusion12. Hemostatic monitoring in obstetrics hemorrhage13. Drugs used in massive bleedingPart 6 Less invasive approach14. Surgical interventions in obstetrics bleeding (compression suture and vascular ligature)15. Intrauterine devices in obstetric hemorrhagePart 7 Invasive approach16. Damage control surgery in the obstetric patient17. Consumption and dilutional coagulopathy in critically ill obstetric patient18. Endocrine consequences of hemorrhagic shock: Sheehan’s syndrome