A systematic review of maternal near miss and mortality due to postpartum hemorrhage

Maswime, Salome; Buchmann, Eckhart

doi:10.1002/ijgo.12096

Cited by 105 publications

(79 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…11 In the present study also, the shared proportion of antepartum haemorrhage is less than postpartum haemorrhage, nonetheless, indicating haemorrhage to be a major killer, time and again.…”

Section: Discussionsupporting

confidence: 56%

Study of the cases of severe acute maternal morbidity at a tertiary care centre

Jamal

Srivastava

Jain

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Reduction in the maternal morbidity has been the key strategy towards achievement of Millennium Development Goal. Despite exhaustive measures at all levels, the decline has been slow. WHO in 2007 established a technical working group to identify cases of severe acute maternal morbidity. It served dual goals to identify the causes and pointing out delays leading to SAMM. SAMM is now an established superior indicator of surviving women’s health and allows uniform comparisons. The present study was conducted with an aim to identify cases of SAMM at our centre. The objective is to determine the frequency of maternal near miss and conduct an epidemiological survey.Methods: This retrospective study was conducted in the department of Obstetrics and Gynecology and ICU of School of Medical Sciences and Research, Greater Noida, from November 2014 to October 2017. All the cases identified as SAMM, as per WHO 2009 criteria (modified according to the local protocol), were included in the study. Results: During the study period there were a total of 2252 delivery, out of which 2051 were live births. There were 123 SAMM cases and 47 were excluded out of study. So, study was done on 76 cases of SAMM, and on 11 maternal deaths in the study period. Calculated MNM incidence ratio was 37.05 per 1000 live births. A mortality index of 12.64% was calculated. MNM to maternal death ratio was 6.9:1. Major identifiable cause for SAMM was hypertension (35.5%)), followed by haemorrhage (18.4%). Haematologic system was the commonest organ system involved. 67.8% of the admissions were done in critical condition.Conclusions: Maternal mortality and SAMM cases shared characteristics, and study of SAMM cases can provide an insight into the causative etiology and give time for early intervention.

show abstract

Section: Discussionsupporting

confidence: 56%

Study of the cases of severe acute maternal morbidity at a tertiary care centre

Jamal

Srivastava

Jain

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…There were 23 maternal near miss cases in this study of which MAPP was the significant contributor (60.86%). In a systematic review of 26 studies (12) , the median near-miss ratio for PPH was 3 per 1000 live births and in this study it was2.7 per thousand live birth.…”

Section: Jmscr Vol||06||issue||02||page 87-92||february 2018supporting

confidence: 43%

Pattern of Peripartum Haemorrhage in a Tertiary Care Centre

Sreelatha¹

2018

jmscr

View full text Add to dashboard Cite

“…Postpartum hemorrhage (PPH) affects 6% of all deliveries and is the leading cause of maternal death worldwide (19.7%) . Even in the developed world, maternal mortality from PPH occurs in 2 per 100 000 live births . PPH can be either primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

“…2 Even in the developed world, maternal mortality from PPH occurs in 2 per 100 000 live births. 3 PPH can be either primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

The experience of postpartum bleeding in women with inherited bleeding disorders

VanderMeulen

Petrucci

Meffe

et al. 2019

Research and Practice in Thrombosis and Haemostasis

View full text Add to dashboard Cite

IntroductionPostpartum hemorrhage (PPH) affects 6% of all deliveries and is the leading cause of maternal death worldwide (19.7%). The incidence of PPH in women with inherited bleeding disorders is substantially greater than in unaffected women; however, estimates of relative risk are highly variable. To date, their experience with postpartum bleeding has not been well studied.ObjectiveWe set out to explore the experience with, understanding of, and attitudes regarding postpartum bleeding among women with inherited bleeding disorders.MethodsThis qualitative study involved focused interviews of women with inherited bleeding disorders about postpartum bleeding. Women followed at a multidisciplinary clinic for women with inherited bleeding disorders who have experienced childbirth within the last 5 years were included in the study. The interview style was semistructured. Interviews continued until the point of saturation of themes. All interviews were transcribed and then analyzed using qualitative descriptive analysis.ResultsWe interviewed 10 women with inherited bleeding disorders. Themes that emerged were normalization of excessive vaginal bleeding, difficulty distinguishing normal from abnormal postpartum bleeding, and empowerment of women by having a clear delivery care plan.ConclusionIn this study, women with inherited bleeding disorders were desensitized to heavy vaginal blood loss. As a result, excessive postpartum bleeding was not recognized by many of the women we interviewed. Results highlight the importance of a multidisciplinary delivery care plan for these women. Findings revealed key areas for targeted multidisciplinary intervention.

show abstract

A systematic review of maternal near miss and mortality due to postpartum hemorrhage

Abstract: Background: Postpartum hemorrhage (PPH) is the principal direct cause of maternal

Cited by 105 publications

References 37 publications

Study of the cases of severe acute maternal morbidity at a tertiary care centre

Study of the cases of severe acute maternal morbidity at a tertiary care centre

Pattern of Peripartum Haemorrhage in a Tertiary Care Centre

The experience of postpartum bleeding in women with inherited bleeding disorders

Contact Info

Product

Resources

About