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Characteristics, causes and treatment of postpartum haemorrhage in first and second pregnancies
Author(s) -
Ford Jane B.,
Shand Antonia W.,
Roberts Christine L.
Publication year - 2013
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12019
Subject(s) - uterine atony , medicine , obstetrics , postpartum haemorrhage , pregnancy , blood loss , gynecology , blood transfusion , atony , surgery , hysterectomy , biology , genetics
We investigated characteristics, causes and treatment of postpartum haemorrhage ( PPH ) in a random sample of 294 women's first and second pregnancies involving at least one PPH . Among 588 pregnancies, PPH affected 169 first pregnancies, 105 second pregnancies only and recurrent PPH affected 48 pregnancies. In 34% of PPH s, atony was the primary cause. Second pregnancy PPH involved increased pharmacological therapy, blood transfusion and median blood loss. It is important to ascertain PPH history in parous women and be prepared for PPH recurrence.