The Epidemiology of Postpartum Hemorrhage in a Large, Nationwide Sample of Deliveries

Bateman, Brian T.; Berman, Mitchell F.; Riley, Laura E.; Leffert, Lisa

doi:10.1213/ane.0b013e3181d74898

Cited by 544 publications

(486 citation statements)

References 19 publications

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“…The relative low rate of PPH and severe PPH in the present study may be attributed to the fact that the present study was focused only on primary PPH. Although rates of severe PPH vary according to the definition used and the severity of the hemorrhage, recent studies have shown that severe PPH appears to be increasing in some developed countries [5,14]. Increase in occurrence of severe PPH could be explained in partly by changes in rates of cesarean delivery, induction of labor or by increases in maternal age or body mass index [5].…”

Section: Discussionmentioning

confidence: 99%

Predictors of severity in primary postpartum hemorrhage

Ekin¹,

Gezer²,

Solmaz³

et al. 2015

Arch Gynecol Obstet

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Section: Discussionmentioning

confidence: 99%

Predictors of severity in primary postpartum hemorrhage

Ekin¹,

Gezer²,

Solmaz³

et al. 2015

Arch Gynecol Obstet

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“…2 Haemorrhage is the most common cause for maternal critical care admission [3][4][5] and places a profound health burden on the childbearing population during an important life event. Haemorrhage is more common in women who have caesarean sections, 6 particularly when indicated for conditions such as placenta praevia (low-lying placenta) or when an emergency caesarean section is required. 7 Approximately 166,000 caesarean sections are performed annually in England.…”

Section: Haemorrhage and Caesarean Sectionmentioning

confidence: 99%

A randomised controlled trial and economic evaluation of intraoperative cell salvage during caesarean section in women at risk of haemorrhage: the SALVO (cell SALVage in Obstetrics) trial

Khan

Moore

Wilson

et al. 2018

Health Technol Assess

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This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hta This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 10/57/32. The contractual start date was in October 2012. The draft report began editorial review in December 2016 and was accepted for publication in March 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. Published by t...

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“…In addition, numerous studies have shown, in industrialized countries, an increase in the incidence of postpartum hemorrhage in recent years [5], reflecting in part the changes in obstetrical practice of the last decade (for example, the increase in the rate of caesarean sections or the increased trend toward practice of spontaneous delivery after caesarean section).…”

Section: Introductionmentioning

confidence: 99%

Postpartum hemorrhage management, the importance of timing.

Claroni

Aversano

Todde

et al. 2019

CMI

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Postpartum hemorrhage is defined as a blood loss equal to or greater than 500 ml, which can occur from 24 hours to six weeks after delivery. It is a critical event with a rapid and devastating evolution, which can quickly lead to maternal shock and death. Many efforts have been made to create international and multisectoral guidelines that allow to face an event that represents the cause of about one quarter of maternal deaths. It is crucial to create a team able to act promptly in accordance with shared protocols. The availability of shared guidelines and protocols and the organization of periodic simulations and teamwork training are part of the fundamental initiatives that can promote the safety of perinatal care. The purpose of this document is to give clinicians the tools to minimize the risks associated with inadequate management of hemorrhagic emergency, avoiding the risk of "too little or too late" and giving patients maximum safety.

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The Epidemiology of Postpartum Hemorrhage in a Large, Nationwide Sample of Deliveries

Abstract: PPH is a relatively common complication of delivery and is associated with substantial maternal morbidity and mortality. It is increasing in frequency in the United States. PPH caused by uterine atony resulting in transfusion often occurs in the absence of recognized risk factors.

Cited by 544 publications

References 19 publications

Predictors of severity in primary postpartum hemorrhage

Predictors of severity in primary postpartum hemorrhage

A randomised controlled trial and economic evaluation of intraoperative cell salvage during caesarean section in women at risk of haemorrhage: the SALVO (cell SALVage in Obstetrics) trial

Postpartum hemorrhage management, the importance of timing.

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