Postpartum hemorrhage is the most important cause of maternal death worldwide, and the most important cause of maternal morbidity in The Netherlands [1]. Postpartum hemorrhage can be differentiated into a primary (early) hemorrhage and secondary (late) hemorrhage. Primary postpartum hemorrhage develops in the first 24 hours postpartum and is usually caused by one of ‘the four T’s’: Tonus (uteri...

POSTPARTUM HEMORRHAGE – A REVIEW (Abstract): Postpartum hemorrhage has been defined as either a 10% change in hematocrit between admission and postpartum period or a need of erythrocyte transfusion. The incidence of postpartum hemorrhage is 3.9% for vaginal deliveries and 6.4% for cesarean delivery. Clinically the blood loss is often underestimated by as much as 30% 50% resulting in a delay in ...

OBJECTIVE Our main objective was to investigate the association between duration of active labor and severe postpartum hemorrhage. We examined the effect of the total duration of active labor, the effect of each stage of active labor, and the gradient effect of duration of labor on severe postpartum hemorrhage. METHODS A case-control study was generated from a source population of all women a...

Acute blood loss in the postpartum period is the primary cause of maternal death worldwide [1] and postpartum hemorrhage complicates 4-6% of births [2]. In most cases of postpartum hemorrhage, bleeding from the genital tract is the source of the blood loss. Uterine atony accounts for 80% of postpartum hemorrhage [2] and genital tract injury, uterine inversion or rupture, genital tract or retrop...

introduction: direct observation of procedural skills (dops) is a way of evaluating procedural skills through observation in the workplace. the purpose of this study was to assess the role of dops in teaching and assessment of postgraduate students and to know the effect of repeated dops on improvement of the skills and confidence of the students. methods: this prospective study was conducted i...

background: simulation teaching means recreating clinical scenario for training / evaluation. aim: to expose postgraduates to simulation / didactic lecture for postpartum hemorrhage (pph) management; to assess which method was more effective. methods: present prospective study was conducted in obstetrics gynecology department of rural tertiary center of northern india.  twenty postgraduates wer...

background postpartum hemorrhage is a significant cause of maternal mortality and morbidity, worldwide. objectives the aim of this study was to compare the efficacy between carbetocin and syntometrine in prevention of postpartum hemorrhage. materials and methods this study was a double blind randomized clinical trial that carried out on 200 pregnant women referred to shabiehkhani maternity cente...

Postpartum hemorrhage (PPH) is a leading cause of death and morbidity relating to pregnancy. Uterine atony is the leading cause of PPH, and trauma, including iatrogenic trauma, increases the risk for postpartum hemorrhage. Women with PPH in a pregnancy are at increased risk of PPH in a subsequent pregnancy. Awareness of these facts, and anticipation and prevention of uterine atony, as well as a...