Postpartum hemorrhage (PPH) continues to be a leading cause of preventable maternal
morbidity and mortality worldwide. An analysis of United States (US) deliveries from
2010 to 2014 demonstrated an increased incidence of PPH across time (2.9–3.2%), along
with increasing morbidity from acute renal failure.
1
Preventable morbidity and mortality from PPH frequently results from delayed recognition
and treatment. While anesthesiologists have the ideal skillset to provide resuscitation
when PPH occurs,
2
they are not routinely present in the labor room after vaginal delivery. Systems
to promptly notify the anesthesia team when PPH occurs after vaginal delivery warrant
further study.To read this article in full you will need to make a payment
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References
- Trends in postpartum hemorrhage in the United States From 2010 to 2014.Anesth Analg. 2020; 130: e119-e122
- A review of the impact of obstetric anesthesia on maternal and neonatal outcomes.Anesthesiology. 2018; 129: 192-215
Quantitative Blood Loss in Obstetric Hemorrhage: ACOG Committee Opinion, number 794. Obstet Gynecol 2019;134:e150–6. doi: 10.1097/AOG.0000000000003564.
Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol 2017;130:e168–86.
Maternal mortality. World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed April 9, 2022.
Article info
Publication history
Published online: January 05, 2023
Accepted:
January 1,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
