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Related Experiment Videos

Trends in postpartum haemorrhage.

Carolyn A Cameron1, Christine L Roberts, Emily C Olive

  • 1Centre for Perinatal Health Services Research, University of Sydney, New South Wales. ccameron@perinatal.usyd.edu.au

Australian and New Zealand Journal of Public Health
|May 10, 2006
PubMed
Summary

Postpartum haemorrhage (PPH) rates during birth admissions in NSW increased from 8.3% to 10.7% between 1994-2002. This rise in PPH was not explained by maternal age or delivery method, warranting further investigation into obstetric practices.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Public Health Surveillance

Background:

  • Postpartum haemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide.
  • Understanding trends in PPH is crucial for improving obstetric care and patient outcomes.
  • Previous studies have indicated varying PPH rates, necessitating localized population-based assessments.

Purpose of the Study:

  • To evaluate the temporal trends and clinical outcomes associated with postpartum haemorrhage (PPH) in New South Wales (NSW).
  • To identify changes in PPH incidence and associated severe maternal morbidities over a defined period.

Main Methods:

  • A population-based descriptive study analyzed data from 52,151 women experiencing PPH between 1994 and 2002 in NSW.
  • Data were sourced from de-identified inpatient hospital records.

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  • Outcomes included maternal death, hysterectomy, ICU admission, transfusion, and major morbidities like acute renal failure.

    • Main Results:

    • The incidence of PPH during birth admissions rose significantly from 8.3% to 10.7% of deliveries.
    • Blood transfusion rates for women with PPH increased sixfold, from 1.9% to 11.7%.
    • Hospital readmissions for PPH decreased, while rates of hysterectomy, ICU admission, and severe morbidities remained stable.

    Conclusions:

    • The increasing rate of PPH during birth admissions is a significant public health concern.
    • The rise in PPH could not be attributed to increased maternal age or caesarean section rates.
    • Further research using linked birth and hospital data is recommended to explore potential links to changes in obstetric practices.