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1965•Australian and New Zealand Journal of Obstetrics and GynaecologyRequires access

Massive Post Partum Haemorrhage

E. V. Mackay

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Abstract

Summary: 1. A 10‐year study of 120 patients with massive, primary post partum haemorrhage is presented. 2. The aetiological factors were as follows: retained placenta, 54 patients; birth canal trauma, 43 patients; coagulation defect, 11 patients; and uterine “atony”, 12 patients. 3. Although a major degree of control has been obtained over haemorrhages resulting from uterine atony and coagulation defect, the other 2 groups may fully tax the obstetrician's resources (as a result of morbid placental adherence and major vessel damage). 4. There were 5 maternal deaths in the series, 4 from birth canal trauma and 1 from an incompatible blood transfusion.

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What this paper is about

Summary: 1. A 10‐year study of 120 patients with massive, primary post partum haemorrhage is presented. 2. The aetiological factors were as follows: retained placenta, 54 patients; birth canal trauma, 43 patients; coagulation defect, 11 patients; and uterine “atony”, 12 patients. 3. Although a major degree of control has been obtained over haemorrhages resulting from uterine atony and coagulation defect, the other 2 groups may fully tax the obstetrician's resources (as a result of morbid placental adherence and major vessel damage). 4. There were 5 maternal deaths in the series, 4 from birth canal trauma and 1 from an incompatible blood transfusion.

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Available abstract

Summary: 1. A 10‐year study of 120 patients with massive, primary post partum haemorrhage is presented. 2. The aetiological factors were as follows: retained placenta, 54 patients; birth canal trauma, 43 patients; coagulation defect, 11 patients; and uterine “atony”, 12 patients. 3. Although a major degree of control has been obtained over haemorrhages resulting from uterine atony and coagulation defect, the other 2 groups may fully tax the obstetrician's resources (as a result of morbid placental adherence and major vessel damage). 4. There were 5 maternal deaths in the series, 4 from birth canal trauma and 1 from an incompatible blood transfusion.

Key concepts: Uterine atony, Birth canal, Medicine, Etiology, Obstetrics, Post partum, Severe trauma, Blood loss

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