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Chapter 53 - Intrapartum Emergencies

from Section 5 - Intrapartum Care

Published online by Cambridge University Press:  20 November 2021

Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Massive obstetric haemorrhage, defined as blood loss ≥1500 mL before or after the delivery of the fetus, occurs in approximately 2–5% of all deliveries [1]. It is the leading cause of maternal mortality worldwide [2]. The most common cause of intrapartum haemorrhage worldwide is obstetric trauma of the female reproductive tract; however, in the developed world, the most common causes are uterine atony, abnormal placentation (including placenta accreta and placenta praevia) and placental abruption. The reader is referred to the relevant chapters on this for more detailed discussions of the clinical problems.

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
, pp. 427 - 433
Publisher: Cambridge University Press
Print publication year: 2021

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