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second stage of labor, postpartum hemorrhage, prenatal care

Marian Knight, William M Callaghan, Cynthia Berg, Sophie Alexander, Marie-Helene Bouvier-Colle, Jane B Ford, K S Joseph, Gwyneth Lewis, Robert M Liston, Christine L Roberts, Jeremy Oats, James Walker
BACKGROUND: Postpartum hemorrhage (PPH) is a major cause of maternal mortality and morbidity worldwide. Several recent publications have noted an increasing trend in incidence over time. The international PPH collaboration was convened to explore the observed trends and to set out actions to address the factors identified. METHODS: We reviewed available data sources on the incidence of PPH over time in Australia, Belgium, Canada, France, the United Kingdom and the USA...
2009: BMC Pregnancy and Childbirth
Stacie E Geller, Shivaprasad S Goudar, Marci G Adams, Vijaya A Naik, Ashlesha Patel, Mrutyunjaya B Bellad, Shobhana S Patted, Stanley A Edlavitch, Nancy Moss, Bhalchandra S Kodkany, Richard J Derman
OBJECTIVE: Postpartum hemorrhage (PPH), a major cause of maternal mortality and morbidity in low-income countries, can occur unpredictably. This study examined the sociodemographic, clinical, and perinatal characteristics of low-risk women who experienced PPH. METHODS: This analysis was conducted using data on 1620 women from a randomized trial testing oral misoprostol for prevention of PPH in rural India. RESULTS: Of the women, 9.2% experienced PPH...
April 2008: International Journal of Gynaecology and Obstetrics
O Ogueh, L Morin, R H Usher, A Benjamin
OBJECTIVES: To determine the obstetrical outcome of pregnancies initially complicated by a low-lying placenta in the second trimester. METHODS: We reviewed the obstetric outcome of all women with singleton deliveries from 1 January 1997 to 31 March 1999 and compared the 703 women with low-lying placentas (placentas in the lower uterine segment) with the 6938 women with placentas that were normally situated in the upper uterine segment at 16-22 weeks' gestation. RESULTS: Pregnancies complicated by a low-lying placenta in the second trimester were not associated with antepartum hemorrhage, preterm births, preterm prelabor rupture of membranes, pregnancy-induced hypertension, fetal growth restriction or cesarean births...
October 2003: International Journal of Gynaecology and Obstetrics
D M Sherer, O Abulafia, A M Anyaegbunam
The objective of this article is to review current literature pertaining to intra- and early postpartum sonography. All the manuscripts published in the English language regarding this topic were selected from a MEDLINE search from 1966 through August 1997. Additional sources were identified through cross-referencing. Currently, intra- and early postpartum sonography may be performed for either maternal or fetal indications. Maternal indications include cervical assessment in preterm labor/rupture of membranes, assessment of the lower uterine segment, size and position of uterine fibroids, guided-placement of central venous or pulmonary artery catheters, detection of intraoperative venous air embolism, deep venous thrombosis, assist management of the third-stage of labor, postpartum hemorrhage or febrile morbidity...
February 1998: Obstetrical & Gynecological Survey
D O Selo-Ojeme, F E Okonofua
The objective of the study was to determine which background factors predispose women to primary postpartum haemorrhage (PPH) at the Obafemi Awolowo University Hospital. The study consisted of 101 women who developed PPH after a normal vaginal delivery and 107 women with normal unassisted vaginal delivery without PPH Both cases and controls were investigated for sociodemographic risk factors, medical and obstetric histories, antenatal events and labour and delivery outcomes. Data were abstracted from the medical and delivery records and risks were estimated by multivariate logistic regression...
1997: Archives of Gynecology and Obstetrics
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