الفهرس | Only 14 pages are availabe for public view |
Abstract The best estimates of global mortality for mothers in childbirth are reported as between 500,000 and 600,000 annually. More than 99% of maternal deaths occur in low-income countries, where other factors may contribute to death in the presence of severe postpartum haemorrhage (PPH). Many more women survive and suffer serious illness as a result, not only from the effects of acute anaemia but also from the interventions that a severe haemorrhage may necessitate (e.g. general anaesthesia, manual removal of the placenta, blood transfusion). Despite the numerous risk strategies put in place in birth settings around the world, PPH remains a major contributor to maternal death in both high and low resource countries and there has not been a major or sustained reduction in the numbers of PPH reported in most settings over the past decade regardless of the management strategy used or the risk status of the woman. The majority of women who experience a PPH are those who have been assessed as being at low risk for complications in the third stage and who have spontaneous vaginal births. |