Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions?

Rossen, Janne; Økland, Inger; Nilsen, Odd Bjarte; Eggebø, Torbjørn Moe

doi:10.3109/00016349.2010.514324

Cited by 122 publications

(133 citation statements)

References 24 publications

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“…Incidence of atonic PPH significantly increased across vaginal, instrumental, and caesarean deliveries, irrespective of induction status. Consistent with the literature, 5,16 we found that the incidence of atonic PPH was higher for emergency than elective caesarean deliveries. The frequency of women diagnosed with atonic PPH and blood transfusion increased over the 11-year period, signalling a rise in more severe atonic PPH cases.…”

Section: Discussionsupporting

confidence: 92%

“…Moreover, increases in the frequency of severe PPH cases have also been observed. 1,[4][5][6] These findings coupled with limited national-level data available on PPH incidence prompted the International Postpartum Haemorrhage Collaborative Group to recommend further research on PPH to establish global trends. 7 A recent population-based study of maternal morbidity in Ireland identified PPH as the second most common cause of maternal morbidity during hospitalisation for delivery, and further found that PPH diagnosis increased between 2005 and 2008.…”

Section: Introductionmentioning

confidence: 99%

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Increasing trends in atonic postpartum haemorrhage in Ireland: an 11‐year population‐based cohort study

Lutomski¹,

Byrne

Devane

et al. 2011

BJOG

190

104

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Objective To derive nationally representative incidence rates of postpartum haemorrhage (PPH), and to investigate trends associated with method of delivery, blood transfusion and morbidly adherent placenta (accreta, percreta and increta).Design Population-based retrospective cohort study.Setting Republic of Ireland.Population Childbirth hospitalisations during the period 1999-2009.Methods International Classification of Diseases (ICD)-9-CM and ICD-10-AM diagnostic codes from hospital discharge records were used to identify cases of PPH. Significant temporal trends in PPH incidence were determined using Cochrane-Armitage tests for trend. Log-binomial regression was conducted to assess annual changes in the risk of PPH diagnosis, with adjustment for potential confounding factors.Main outcome measures PPH, uterine atony, blood transfusion and morbidly adherent placenta.Results A total of 649 019 childbirth hospitalisations were recorded; 2.6% (n = 16 909) included a diagnosis of PPH. The overall PPH rate increased from 1.5% in 1999 to 4.1% in 2009; atonic PPH rose from 1.0% in 1999 to 3.4% in 2009. Significant increasing trends in atonic PPH rates were observed across vaginal, instrumental, and emergency and elective caesarean deliveries (P < 0.001). The rate of atonic PPH co-diagnosed with blood transfusion also significantly increased (P < 0.001). Relative to 1999, the risk of atonic PPH in 2009 was three-fold increased (adjusted RR 3.03; 95% CI 2.76-3.34). Women diagnosed with a morbidly adherent placenta had a markedly higher risk of total PPH (unadjusted RR 13.14; 95% CI 11.43-15.11).Conclusions Increasing rates of atonic PPH highlight the pressing need for research and for clinical audit focusing on aetiological factors, preventative measures and quality of care, to guide current clinical practice.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Increasing trends in atonic postpartum haemorrhage in Ireland: an 11‐year population‐based cohort study

Lutomski¹,

Byrne

Devane

et al. 2011

BJOG

190

104

View full text Add to dashboard Cite

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“…Recent reports indicate that the incidence of postpartum hemorrhage (PPH) is increasing worldwide [2][3][4][5][6][7][8][9][10][11][12][13]. The physical impact of MOH has been studied extensively [14]; however hardly any data are available on psychological consequences.…”

Section: Introductionmentioning

confidence: 99%

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Stralen

Ruijten

Kaptein

et al. 2017

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: A description is given of the quality of life (QOL) of women who were treated with peripartum embolization or hysterectomy for major obstetric hemorrhage (MOH). Methods: Questionnaires assessing QOL, combined with questionnaires and drawings assessing illness perceptions, were used to compare women with MOH to reference groups provided by the questionnaires. Results: Women who experienced MOH have similar scores on QOL questionnaires compared to reference groups. Women treated with arterial embolization scored better than women treated with hysterectomy. Partners of women with MOH scored better on QOL questionnaires than reference groups. Drawings reflect the major emotional impact of MOH. Discussion: MOH does not seem to have a negative effect on QOL 6-8 years after the event, although drawings and verbalizations indicate major emotional impact. More extensive follow-up is advised for early recognition of the need for psychological help. Women after embolization seem to have better QOL compared to women after hysterectomy.

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“…En relación a la paridad, encontramos mayores pérdidas sanguíneas en el grupo de nulíparas en comparación con mujeres multíparas 16,17 . Este hecho es relevante, ya que el perfil de mujeres con parto precipitado corresponde habitualmente a mujeres multíparas con gestaciones a término, por lo que se debería estrechar la vigilancia en el grupo de nulíparas ante la mayor probabilidad de sangrado excesivo postparto.…”

Section: Discussionunclassified

Factors associated with blood loss during precipitate labor

Alvarez

Alarcón

Martinez

2017

An Sist Sanit Navar

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Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions?

Abstract: The incidence of severe postpartum hemorrhage increased, and this may be related to more frequent use of obstetric interventions.

Cited by 122 publications

References 24 publications

Increasing trends in atonic postpartum haemorrhage in Ireland: an 11‐year population‐based cohort study

Increasing trends in atonic postpartum haemorrhage in Ireland: an 11‐year population‐based cohort study

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Factors associated with blood loss during precipitate labor

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