Trend Changes in the individual contribution of risk factors for postpartum hemorrhage over more than two decades

Sade, Shanny; Weintraub, Adi Y.; Baumfeld, Yael; Kluwgant, Dvora; Yohay, David; Rotem, Reut; Pariente, Gali

doi:10.1007/s10995-022-03461-y

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…Both perineal and vaginal tears, as well as delivery of an large for gestational age neonate, were independent risk factors for PPH. Although pre-eclampsia, vacuum-assisted delivery, and retained placenta were also independently associated with PPH, the trends of change for these risk factors over time were not statistically significant 16. Although the etiology of the increasing incidence of PPH is not well understood, delays in the provision of appropriate care, even in patients already in the hospital, have been postulated to account for a proportion of preventable maternal morbidity 17…”

Section: Epidemiologymentioning

confidence: 99%

Postpartum Hemorrhage—Epidemiology, Risk Factors, and Causes

Patek

Friedman

2023

Clinical Obstetrics &Amp; Gynecology

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The incidence of postpartum hemorrhage (PPH) is increasing worldwide and in the United States. Coinciding, is the increased rate of severe maternal morbidity with blood transfusion in the United States over the past 2 decades. Consequences of PPH can be life-threatening and carry significant cost burden to the health care system. This review will discuss the current trends, distribution, and risk factors for PPH. Causes of PPH will be explored in detail.

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Section: Epidemiologymentioning

confidence: 99%

Postpartum Hemorrhage—Epidemiology, Risk Factors, and Causes

Patek

Friedman

2023

Clinical Obstetrics &Amp; Gynecology

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Association of maternal perfluoroalkyl substance exposure with postpartum haemorrhage in Guangxi, China

Lin

Liao

Tang

et al. 2022

Ecotoxicology and Environmental Safety

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Postpartum haemorrhage: latest developments in prediction, drug treatment and monitoring

Phan,

Weeks

2024

British Journal of Midwifery

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With increasing global rates of postpartum haemorrhage, recent developments aim to ensure that birthing women are safe. This focused review will discuss developments in prediction of postpartum haemorrhage, blood loss measurement, uterotonic use and the thromboelastogram, aiming to improve prevention and treatment of postpartum haemorrhage. The unpredictable nature of postpartum haemorrhage is a significant hurdle, as all women must be considered at risk, imposing a heavy burden on healthcare services. Evidence-based tools have shown promise in improving prediction and management strategies. However, the lack of consensus and agreement on risk factors presents obstacles to developing accurate models. Ongoing research is exploring the development of an individual postpartum haemorrhage risk index, providing personalised care to pregnant women. Accurate blood loss quantification is essential for prompt postpartum haemorrhage diagnosis and appropriate interventions, but challenging in busy clinical settings. Recent advancements in prophylaxis and treatment using medication (uterotonics and tranexamic acid), as well as in monitoring using thromboelastograms, emphasise the need for effective prediction and management strategies. This critical review underscores the need for further research to enhance prediction tools, refine management protocols and address existing challenges to improve maternal outcomes.

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Trend Changes in the individual contribution of risk factors for postpartum hemorrhage over more than two decades

Cited by 3 publications

References 18 publications

Postpartum Hemorrhage—Epidemiology, Risk Factors, and Causes

Postpartum Hemorrhage—Epidemiology, Risk Factors, and Causes

Association of maternal perfluoroalkyl substance exposure with postpartum haemorrhage in Guangxi, China

Postpartum haemorrhage: latest developments in prediction, drug treatment and monitoring

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