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Obstetric hemorrhage: A global review.
Dena Goffman1, Lisa Nathan1, Cynthia Chazotte1
1Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, 1825 Eastchester Rd, Bronx, NY 10461.
Seminars in Perinatology
|January 9, 2016
Summary
Postpartum hemorrhage is a leading cause of maternal death in the US, with rising incidence. Analyzing delays in care using the "Three Delays" model can help identify solutions for this preventable condition.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal Mortality Research
Background:
- Postpartum hemorrhage (PPH) is the leading global cause of maternal mortality.
- PPH is a significant and increasing cause of maternal death in the United States.
- Obstetric hemorrhage is the second leading cause of maternal mortality in New York State.
Purpose of the Study:
- To analyze the persistence of postpartum hemorrhage as a cause of maternal death.
- To examine PPH within the framework of the "Three Delays" model of maternal mortality.
- To inform potential solutions for reducing PPH-related maternal mortality in New York.
Main Methods:
- Review of national and statewide data on postpartum hemorrhage.
- Analysis of maternal mortality and morbidity data in New York State.
- Application of the "Three Delays" model to understand barriers to timely care for PPH.
Main Results:
- Postpartum hemorrhage is a major contributor to maternal mortality and morbidity, with increasing rates.
- The "Three Delays" model provides a framework for understanding why PPH remains a significant problem.
- Delays in seeking, reaching, and receiving adequate care contribute to PPH outcomes.
Conclusions:
- Postpartum hemorrhage is a preventable yet persistent cause of maternal death.
- Addressing delays in care is crucial for reducing maternal mortality from PPH.
- Further investigation into specific delays in New York State is warranted to develop targeted interventions.
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