Ginecología y obstetricia de México
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Severe genital hemorrhage in women is almost always present during puerperal pregnancy status. Thus, bearing in mind the hemodynamic and metabolic changes which appear physiologically during gestation: hypovolimia, hemodilution, tachycardia, and modification showing in blood coagulation factors and in electrocardiogram, is of paramount importance. In this article, a four-type genital bleeding classification based on the extent of blood loss is presented. ⋯ Class III and class IV correspond to hypovolemic shock and call for intensive care. The need for the availability of all necessary material resources and the participation of a multidisciplinary team are emphasized. The author also emphasized the preservation of the fetus' life-while inside the uterus-whenever this be feasible.