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2020•Unpublished venueRequires access

Maternal deaths from obstetric haemorrhage 2017-2019; are we overlooking deaths from postpartum haemorrhage after vaginal delivery?

Sue Fawcus

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Abstract

There has been a decline in both numbers and the maternal mortality rate from obstetric haemorrhage in the 20172019 triennium. This paper reviews the 544 deaths, which include deaths from abruptio placentae, ruptured uterus, bleeding associated with Caesarean delivery and postpartum haemorrhage (PPH) after vaginal delivery; all of which have reduced. The latter has become the largest group composed of deaths due to uterine atony, retained placenta and cases where the cause of PPH was not established. It is described in more detail. Assessors judged 89.5% of haemorrhage deaths to be potentially preventable and recommendations are made to further reduce mortality, with a focus on PPH after vaginal delivery.

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What this paper is about

There has been a decline in both numbers and the maternal mortality rate from obstetric haemorrhage in the 20172019 triennium. This paper reviews the 544 deaths, which include deaths from abruptio placentae, ruptured uterus, bleeding associated with Caesarean delivery and postpartum haemorrhage (PPH) after vaginal delivery; all of which have reduced. The latter has become the largest group composed of deaths due to uterine atony, retained placenta and cases where the cause of PPH was not established. It is described in more detail. Assessors judged 89.5% of haemorrhage deaths to be potentially preventable and recommendations are made to further reduce mortality, with a focus on PPH after vaginal delivery.

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Available abstract

There has been a decline in both numbers and the maternal mortality rate from obstetric haemorrhage in the 20172019 triennium. This paper reviews the 544 deaths, which include deaths from abruptio placentae, ruptured uterus, bleeding associated with Caesarean delivery and postpartum haemorrhage (PPH) after vaginal delivery; all of which have reduced. The latter has become the largest group composed of deaths due to uterine atony, retained placenta and cases where the cause of PPH was not established. It is described in more detail. Assessors judged 89.5% of haemorrhage deaths to be potentially preventable and recommendations are made to further reduce mortality, with a focus on PPH after vaginal delivery.

Key concepts: Uterine atony, Postpartum haemorrhage, Medicine, Vaginal delivery, Maternal morbidity, Obstetrics, Caesarean delivery, Pregnancy

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Maternal deaths from obstetric haemorrhage 2017-2019; are we overlooking deaths from postpartum haemorrhage after vaginal delivery? — Research Paper | ScholarLens