OBJECTIVES To explore the association between postpartum haemorrhage (PPH) and postpartum depression (PPD), taking into account the role of postpartum anaemia, delivery experience and psychiatric history. METHODS A nested cohort study (n = 446), based on two population-based cohorts in Uppsala, Sweden. Exposed individuals were defined as having a bleeding of ≥1000 ml (n = 196) at delivery, an...

We examined vaginal deliveries of twins to identify factors most strongly associated with the increased risk of postpartum hemorrhage (estimated blood loss > or = 1,000 mL). We reviewed the obstetric records of all 171 twin vaginal deliveries at Japanese Red Cross Katsushika Maternity Hospital from January 2002 through August 2006. Of these deliveries, 41 (24%) were complicated by postopartum h...

background: third stage of labor has been defined as the most dangerous stage. due to the importance of the third stage, this study was performed in order to determine its length and related factors. materials and methods: this research is a cross sectional study which was carried out on 1000 deliveries in shabihkhani hospital (kashan-iran). inclusion criteria consist of gestational age of high...

Postpartum hemorrhage is one of the most common obstetric emergencies and largest contributor to maternal mortality in world, with uterine atony being cause. A 38-year-old woman came Karitas Hospital complaining vaginal bleeding after giving birth three hours ago. On examination, patient was somnolent signs shock. Anemic conjunctiva, pale lips, weak contractions uterus, active bleeding. The lab...

OBJECTIVE To evaluate the outcomes of bilateral internal iliac artery ligation (IIAL) in severe postpartum hemorrhage (PPH). DESIGN Multi-center retrospective study. METHODS The study was performed from January 2005 to December 2010, at the Obstetrics and Gynecology Clinic, Dicle University Medical Faculty and Maternity Hospital, Diyarbakir, Turkey. Life-threatening cases of severe postpart...

Introduction: Late postpartum hemorrhage following a Caesarean section (CS) is uncommon. A partial or complete dehiscence of the lower segment CS incision is a rare but possible cause. Case: A 33-year-old woman underwent a lower segment CS for chorioamnionitis and failure to progress in labour at 40 weeks and 5 days of gestation. On the 43rd postpartum day, she developed heavy vaginal bleeding....

This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins— Obstetrics with the assistance of William N. P. Herbert, MD, and Carolyn M. Zelop, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variatio...