Document Detail

Postpartum hemorrhage after vaginal birth: an analysis of risk factors.
MedLine Citation:
PMID:  15898516     Owner:  NLM     Status:  MEDLINE    
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.
Everett F Magann; Sharon Evans; Maureen Hutchinson; Robyn Collins; Bobby C Howard; John C Morrison
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  98     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-18     Completed Date:  2005-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  419-22     Citation Subset:  AIM; IM    
School of Women and Infants Health, King Edward Memorial Hospital, Perth, Australia.
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MeSH Terms
Delivery, Obstetric / methods
European Continental Ancestry Group
Middle Aged
Postpartum Hemorrhage / etiology*
Pregnancy Complications, Hematologic
Risk Factors

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