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Postpartum Hemorrhage: Risk Factors and Preventive Strategies

Received: 18 October 2021    Accepted: 3 November 2021    Published: 10 November 2021
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Abstract

Background: Postpartum hemorrhage is considered the leading cause of pregnancy related deaths worldwide, with an estimated 140,000 women dying annually from this complication. Aim: Postpartum hemorrhage is defined as the loss of more than 500 ml of blood after delivery or more than 1000 ml of blood after cesarean section. However, there are variations in its definition between societies and clinical practice guidelines. Findings: The incidence of postpartum hemorrhage is generally estimated between 4% and 6% and some studies report that identifiable risk factors can only be found in 39% of patients, so at least 2/3 of the women could have postpartum hemorrhage without any identifiable risk factor. Discussion: Today there is still an upward trend in the incidence of postpartum hemorrhage, some authors believe that it may be due to the change in maternal characteristics or assisted reproductive techniques but there is little evidence to support it, instead it seems that it may be due to a delay in identification and treatment. Conclusion: it is important to take action without delay at the onset of postpartum hemorrhage that includes the implementation of established protocols and patient fluid management, with a trained team in the identification, reducing maternal morbidity and mortality due to this complication.

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 6)
DOI 10.11648/j.jgo.20210906.13
Page(s) 200-205
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Postpartum Hemorrhage, Risk Factors, Threatment Protocols, Preventive Strategies, Placenta, Bledding

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Cite This Article
  • APA Style

    Gonzalez Carrillo Lissette Alejandra, Rodriguez Zambrano Miguel Angel, Kirk Grohar Janette Lisbeth. (2021). Postpartum Hemorrhage: Risk Factors and Preventive Strategies. Journal of Gynecology and Obstetrics, 9(6), 200-205. https://doi.org/10.11648/j.jgo.20210906.13

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    ACS Style

    Gonzalez Carrillo Lissette Alejandra; Rodriguez Zambrano Miguel Angel; Kirk Grohar Janette Lisbeth. Postpartum Hemorrhage: Risk Factors and Preventive Strategies. J. Gynecol. Obstet. 2021, 9(6), 200-205. doi: 10.11648/j.jgo.20210906.13

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    AMA Style

    Gonzalez Carrillo Lissette Alejandra, Rodriguez Zambrano Miguel Angel, Kirk Grohar Janette Lisbeth. Postpartum Hemorrhage: Risk Factors and Preventive Strategies. J Gynecol Obstet. 2021;9(6):200-205. doi: 10.11648/j.jgo.20210906.13

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  • @article{10.11648/j.jgo.20210906.13,
      author = {Gonzalez Carrillo Lissette Alejandra and Rodriguez Zambrano Miguel Angel and Kirk Grohar Janette Lisbeth},
      title = {Postpartum Hemorrhage: Risk Factors and Preventive Strategies},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {9},
      number = {6},
      pages = {200-205},
      doi = {10.11648/j.jgo.20210906.13},
      url = {https://doi.org/10.11648/j.jgo.20210906.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210906.13},
      abstract = {Background: Postpartum hemorrhage is considered the leading cause of pregnancy related deaths worldwide, with an estimated 140,000 women dying annually from this complication. Aim: Postpartum hemorrhage is defined as the loss of more than 500 ml of blood after delivery or more than 1000 ml of blood after cesarean section. However, there are variations in its definition between societies and clinical practice guidelines. Findings: The incidence of postpartum hemorrhage is generally estimated between 4% and 6% and some studies report that identifiable risk factors can only be found in 39% of patients, so at least 2/3 of the women could have postpartum hemorrhage without any identifiable risk factor. Discussion: Today there is still an upward trend in the incidence of postpartum hemorrhage, some authors believe that it may be due to the change in maternal characteristics or assisted reproductive techniques but there is little evidence to support it, instead it seems that it may be due to a delay in identification and treatment. Conclusion: it is important to take action without delay at the onset of postpartum hemorrhage that includes the implementation of established protocols and patient fluid management, with a trained team in the identification, reducing maternal morbidity and mortality due to this complication.},
     year = {2021}
    }
    

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    T1  - Postpartum Hemorrhage: Risk Factors and Preventive Strategies
    AU  - Gonzalez Carrillo Lissette Alejandra
    AU  - Rodriguez Zambrano Miguel Angel
    AU  - Kirk Grohar Janette Lisbeth
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    PY  - 2021
    N1  - https://doi.org/10.11648/j.jgo.20210906.13
    DO  - 10.11648/j.jgo.20210906.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    EP  - 205
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.jgo.20210906.13
    AB  - Background: Postpartum hemorrhage is considered the leading cause of pregnancy related deaths worldwide, with an estimated 140,000 women dying annually from this complication. Aim: Postpartum hemorrhage is defined as the loss of more than 500 ml of blood after delivery or more than 1000 ml of blood after cesarean section. However, there are variations in its definition between societies and clinical practice guidelines. Findings: The incidence of postpartum hemorrhage is generally estimated between 4% and 6% and some studies report that identifiable risk factors can only be found in 39% of patients, so at least 2/3 of the women could have postpartum hemorrhage without any identifiable risk factor. Discussion: Today there is still an upward trend in the incidence of postpartum hemorrhage, some authors believe that it may be due to the change in maternal characteristics or assisted reproductive techniques but there is little evidence to support it, instead it seems that it may be due to a delay in identification and treatment. Conclusion: it is important to take action without delay at the onset of postpartum hemorrhage that includes the implementation of established protocols and patient fluid management, with a trained team in the identification, reducing maternal morbidity and mortality due to this complication.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Department of Gynecology & Obstetrics at HM Puerta del Sur University Hospital, Madrid, Spain

  • Department of Gynecology & Obstetrics at HM Puerta del Sur University Hospital, Madrid, Spain

  • Department of Gynecology & Obstetrics at HM Puerta del Sur University Hospital, Madrid, Spain

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