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Chapter 57 - Management of Postpartum Haemorrhage

from Section 5 - Intrapartum Care

Published online by Cambridge University Press:  20 November 2021

Tahir Mahmood
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
University of Malta, Malta
Ioannis Messinis
University of Thessaly, Greece
Sambit Mukhopadhyay
Norfolk & Norwich University Hospital, UK
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Postpartum haemorrhage (PPH) is the one of the leading causes of maternal morbidity and mortality worldwide, with the World Health Organization (WHO) estimating 140 000 maternal deaths every year due to PPH [1]. Between 1990 and 2015 there has been a decrease in the number of women dying in the perinatal period (all-cause mortality) with 385 death per 100 000 live births in 1990 decreasing to 216 per 100 000 live births; however, a significant gap in the mortality in developed and developing countries persists [2]. In 2015, the maternal mortality rate in low-income countries was 479 per 100 000 live births versus 13 per 100 000 births in high-income countries [2]. In the UK, PPH is the third most common direct cause of maternal death and was attributable for 0.78 deaths per 100 000 maternities between 2014 and 2016 [3]. Maternal death, however, can only be seen as the tip of the iceberg, with 492 cases of morbidities reported in Scotland during 2012 and many other unreported cases of morbidities such as post-traumatic stress syndrome [4].

The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
, pp. 452 - 461
Publisher: Cambridge University Press
Print publication year: 2021

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