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Massive Post Partum Haemorrhage
Author(s) -
Mackay Eric V.
Publication year - 1965
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/j.1479-828x.1965.tb00323.x
Subject(s) - uterine atony , birth canal , medicine , etiology , obstetrics , post partum , severe trauma , blood loss , pregnancy , surgery , blood transfusion , hysterectomy , biology , genetics
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.