TY - JOUR
T1 - Postpartum Hemorrhage After Vaginal Birth: An Analysis of Risk Factors
AU - Magann, Pat
AU - Evans, S.
AU - Hutchinson, M.
AU - Collins, R.
AU - Howard, B.C.
AU - Morrison, J.C.
PY - 2005
Y1 - 2005
N2 - 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.
AB - 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.
U2 - 10.1097/01.SMJ.0000152760.34443.86
DO - 10.1097/01.SMJ.0000152760.34443.86
M3 - Article
SN - 0038-4348
VL - 98
SP - 1
EP - 4
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 4
ER -