Uterine atony
View article
Postpartum Hemorrhage Open
The major causes of postpartum hemorrhage are uterine atony, lacerations, retained placenta or clots, and clotting factor deficiency. Uterine massage, oxytocin, and methylergonovine are the main treatments, along with blood transfusion and…
View article
Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study Open
Background Although maternal deaths are rare in developed regions, the morbidity associated with severe postpartum hemorrhage (SPPH) remains a major problem. To determine the prevalence and risk factors of SPPH, we analyzed data of women w…
View article
International consensus statement on the use of uterotonic agents during caesarean section Open
Summary It is routine to give a uterotonic drug following delivery of the neonate during caesarean section. However, there is much heterogeneity in the relevant research, which has largely been performed in low‐risk elective cases or women…
View article
Evaluation of Risk-Assessment Tools for Severe Postpartum Hemorrhage in Women Undergoing Cesarean Delivery Open
OBJECTIVE: To examine and compare the validity of three known risk-assessment tools (CMQCC [California Maternal Quality Care Collaborative], AWHONN [Association of Women's Health, Obstetric and Neonatal Nurses], and NYSBOH [New York Safety…
View article
Placenta previa and maternal hemorrhagic morbidity Open
Placenta previa is an independent risk factor for maternal hemorrhagic morbidity. Some risk factors are modifiable, but many are intrinsic to the clinical scenario.
View article
Adverse obstetric outcomes in pregnant women with uterine fibroids in China: A multicenter survey involving 112,403 deliveries Open
Pregnant women with uterine fibroids are at increased risk for cesarean delivery, breech presentation and postpartum hemorrhage. And different characteristics of uterine fibroids affect obstetric outcomes through different ways. Such detai…
View article
Epidemiology, prevention and management of early postpartum hemorrhage — a systematic review Open
Early Postpartum Hemorrhage (EPH) is one of the leading causes of postpartum mortality. It is defined as blood loss of at least 500 mL after vaginal or 1000 mL following cesarean delivery within 24 hours postpartum. The following paper inc…
View article
Myomas and Adenomyosis: Impact on Reproductive Outcome Open
Among uterine structural abnormalities, myomas and adenomyosis represent two distinct, though frequently coexistent entities, with a remarkable prevalence in women of reproductive age. Various mechanisms have been proposed to explain the i…
View article
Recent Advances in the Management of Major Postpartum Haemorrhage - A Review Open
Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and morbidity worldwide and 75-90% of these haemorrhage results from uterine atony. Delayed and substandard obstetrics care can kill a woman within hours of Major Obstet…
View article
Prevention and treatment of postpartum hemorrhage: focus on hematological aspects of management Open
Postpartum hemorrhage (PPH) is the leading cause of global maternal mortality and accounts for approximately one-quarter of all maternal deaths worldwide. Prevention of excess maternal deaths requires a coordinated approach to prevention, …
View article
Epidemiological analysis of peripartum hysterectomy across nine European countries Open
Introduction Peripartum hysterectomy is a surgical procedure performed for severe obstetric complications such as major obstetric hemorrhage. The prevalence of peripartum hysterectomy in high‐resource settings is relatively low. Hence, int…
View article
Uterine rupture in pregnancies following myomectomy: A multicenter case series Open
In women of childbearing age who are scheduled to undergo LTM or LSM, the potential risk of uterine rupture on subsequent pregnancy should be explained before surgery. Pregnancy in women after myomectomy should be carefully observed, and t…
View article
Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study Open
Objective . A retrospective study was performed to evaluate the safety and feasibility of cesarean myomectomy among pregnant women with uterine fibroids (UFs). Methods . Upon data collection, the pregnant women with UF underwent cesarean s…
View article
Postpartum Hemorrhage and its Associated Factors Among Women who Gave Birth at Yirgalem General Hospital, Sidama Regional State, Ethiopia Open
Background Globally, postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality. In developing countries, it accounts for more than 30% of all maternal deaths. So, understanding its burden in the health care setting is …
View article
Emergency obstetric hysterectomy for life-threatening postpartum hemorrhage Open
The aim of the study was to review the operative experiences of emergency hysterectomy for life-threatening postpartum hemorrhage (PPH) performed over a 12-year period at Fujian Provincial Maternity and Children's Hospital; to examine the …
View article
The Emergent Pelvic Artery Embolization in the Management of Postpartum Hemorrhage: A Systematic Review and Meta-analysis Open
Importance Postpartum hemorrhage (PPH) is an emergent obstetric complication and the leading cause of maternal mortality. Pelvic arterial embolization (PAE) is an effective treatment for intractable PPH. However, a unique protocol has not …
View article
Pelvic Artery Embolization for Treatment of Postpartum Hemorrhage Open
Postpartum hemorrhage (PPH) is the leading cause of maternal perinatal morbidity and mortality worldwide. Defined as greater than 500 mL blood loss after vaginal delivery, and greater than 1,000 mL blood loss after cesarean delivery, PPH h…
View article
Route of Delivery in Women With Stillbirth Open
OBJECTIVE: To describe delivery management of singleton stillbirths in a population-based, multicenter case series. METHODS: We conducted a retrospective chart review of 611 women with singleton stillbirths at 20 weeks of gestation or grea…
View article
Women undergoing peripartum hysterectomy due to obstetric hemorrhage: A prospective population‐based study Open
Introduction Peripartum hysterectomy is usually undertaken in cases of life‐threatening obstetric hemorrhage to prevent the death of the mother. Near‐miss events are still under‐researched and inappropriate care continues to be a critical …
View article
‘Nausicaa’ compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage Open
Postpartum haemorrhage (PPH), especially resulting from placenta accreta spectrum (PAS), has become a worldwide concern in maternity care. We describe a novel method of uterine compression sutures (the ‘Nausicaa’ technique) as an alternati…
View article
Effect of a High-Rate Versus a Low-Rate Oxytocin Infusion for Maintaining Uterine Contractility During Elective Cesarean Delivery: A Prospective Randomized Clinical Trial Open
BACKGROUND: Oxytocin is routinely used as prophylaxis against uterine atony. During elective cesarean delivery (CD), an oxytocin bolus is used to initiate adequate uterine tone, followed by an oxytocin infusion to maintain uterine contract…
View article
Carbetocin vs oxytocin for prevention of postpartum hemorrhage after vaginal delivery Open
Objective: To evaluate the efficacy and safety of carbetocin for prevention of postpartum hemorrhage in women undergoing vaginal delivery compared with oxytocin. Methods: We conducted a systemic literature search in PubMed, the Cochrane Li…
View article
The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018 Open
Objective Since data related to postpartum hemorrhage in Ethiopia is scarce, this study was aimed to assess the magnitude and associated factors of postpartum hemorrhage among mothers who delivered in Debre Tabor general hospital. Results …
View article
Causes and avoidable factors in maternal death due to cesarean‐related hemorrhage in South Africa Open
Objective To describe risk factors, clinical events, and avoidable factors in cases of maternal death due to bleeding during and after cesarean delivery. Methods A retrospective study was undertaken of the clinical records of women who del…
View article
Postpartum haemorrhage in high‐resource settings: Variations in clinical management and future research directions based on a comparative study of national guidelines Open
Objective To compare guidelines from eight high‐income countries on prevention and management of postpartum haemorrhage (PPH), with a particular focus on severe PPH. Design Comparative study. Setting High‐resource countries. Population Wom…
View article
A systematic review of the cost‐effectiveness of uterotonic agents for the prevention of postpartum hemorrhage Open
Background Several uterotonic options exist for prevention of postpartum hemorrhage ( PPH ); hence, cost‐effectiveness is an important decision‐making criterion affecting uterotonic choice. Objective To conduct a systematic review of cost‐…
View article
Women receiving massive transfusion due to postpartum hemorrhage: A comparison over time between two nationwide cohort studies Open
Introduction Incidence of massive transfusion after birth was high in the Netherlands between 2004 and 2006 compared with other high‐income countries. This study investigated incidence, causes, management and outcome of women receiving mas…
View article
Preoperative infrarenal abdominal aorta balloon catheter occlusion combined with Bakri tamponade reduced maternal morbidity of placenta increta/percreta Open
Prophylactic insertion of IAABC alone or combined with Bakri tamponade should be safe and effective in controlling intraoperative bleeding due to placenta increta, thus hysterectomy could be avoided. It seems to be less beneficial to women…
View article
Peripartum hysterectomy in a tertiary care hospital: Epidemiology and outcomesImproving outcomes for peripartum hysterectomy: Still a long way to go! Open
The most common indication for peripartum hysterectomy was placenta accrete. Electively planned peripartum hysterectomies with a multidisciplinary team approach had better outcomes and no mortality as compared to emergency peripartum hyste…
View article
Incidence, Indications, Risk Factors, and Outcomes of Emergency Peripartum Hysterectomy Worldwide Open
OBJECTIVE: To describe the incidence, indications, risk factors, outcomes, and management of emergency peripartum hysterectomy globally and to compare outcomes among different income settings. DATA SOURCES: PubMed, MEDLINE, EMBASE, Clinica…