OBJECTIVE To assess the specific association between the duration of expulsive efforts and the risk of postpartum hemorrhage. METHODS Population-based cohort-nested case-control study of nulliparous women delivering vaginally in 106 French maternity units between December 2004 and November 2006, including 3,852 women with PPH (blood loss ≥ 500 mL and/or peripartum Hb decrease ≥ 2 g/dL), 1,048...

Background: One of the main causes of maternal death in developing countries is postpartum hemorrhage. Cesarean section is one of the most common surgeries all around the world. In comparison with normal vaginal delivery, cesarean section is a greater risk factor for postpartum hemorrhage and need for blood transfusion. The risk of postpartum hemorrhage will increase when other risk factors suc...

abstract background: in developing countries, hemorrhage accounts for 30% of the maternal deaths. postpartum hemorrhage has been defined as blood loss of around 500 ml or more, after completing the third phase of labor. most cases of postpartum hemorrhage occur during the first hour after birth. the most common reason for bleeding in the early hours after childbirth is uterine atony bleeding du...

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...