| Postpartum hemorrhage after vaginal birth: an analysis of risk factors. | |
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MedLine Citation:
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PMID: 15898516 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine, in a single tertiary obstetric hospital, the incidence of and risk factors for postpartum hemorrhage (PPH) after a vaginal birth. METHODS: PPH was defined as measured blood loss greater than 1,000 mL and/or need for a transfusion. RESULTS: Over a 4-year period, 13,868 of 19,476 women delivered vaginally, with a PPH rate of 5.15%. Identified risk factors for PPH were Asian race, maternal blood disorders, prior PPH, history of retained placenta, multiple pregnancy, antepartum hemorrhage, genital tract lacerations, macrosomia (>4 kg), and induction of labor, as well as chorioamnionitis, intrapartum hemorrhage, still birth, compound fetal presentation, epidural anesthesia, prolonged first/second stage of labor, and forceps delivery after a failed vacuum. CONCLUSIONS: Identification of risk factors for PPH after a vaginal delivery may afford prophylactic treatment of such women with reduction of morbidity. |
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Authors:
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Everett F Magann; Sharon Evans; Maureen Hutchinson; Robyn Collins; Bobby C Howard; John C Morrison |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Southern medical journal Volume: 98 ISSN: 0038-4348 ISO Abbreviation: South. Med. J. Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-05-18 Completed Date: 2005-06-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404522 Medline TA: South Med J Country: United States |
Other Details:
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Languages: eng Pagination: 419-22 Citation Subset: AIM; IM |
Affiliation:
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School of Women and Infants Health, King Edward Memorial Hospital, Perth, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Delivery, Obstetric / methods European Continental Ancestry Group Female Humans Middle Aged Postpartum Hemorrhage / etiology* Pregnancy Pregnancy Complications, Hematologic Risk Factors |
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