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Characteristics, causes and treatment of postpartum haemorrhage in first and second pregnancies

Authors

  • Jane B. Ford,

    Corresponding author
    • Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia
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  • Antonia W. Shand,

    1. Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia
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  • Christine L. Roberts

    1. Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia
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  • We have no conflicts of interest to report.

Correspondence: Dr Jane B. Ford, Clinical and Population Perinatal Health Research, Kolling Institute of Medical Research, University of Sydney, c/- Building 52, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia. Email: jane.ford@sydney.edu.au

Abstract

We investigated characteristics, causes and treatment of postpartum haemorrhage (PPH) in a random sample of 294 women's first and second pregnancies involving at least one PPH. Among 588 pregnancies, PPH affected 169 first pregnancies, 105 second pregnancies only and recurrent PPH affected 48 pregnancies. In 34% of PPHs, atony was the primary cause. Second pregnancy PPH involved increased pharmacological therapy, blood transfusion and median blood loss. It is important to ascertain PPH history in parous women and be prepared for PPH recurrence.

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