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Created on : 02 Nov 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Postpartum haemorrhage - a continuing problem. Br J Obstet Gynaecol. 1987 Jan;94(1):67-71.

Author(s) :

Gilbert L, Porter W, Brown VA.

Year of publication :

1987

URL(s) :

Résumé (français)  :

Abstract (English)  :

The factors responsible for postpartum haemorrhage (PPH) in singleton vaginal deliveries, not complicated by a retained placenta, were identified by comparing labour characteristics in 86 women who had a PPH (blood loss greater than 500 ml) with 351 women whose blood loss at delivery was less than 350 ml. Primiparity, induction of labour by amniotomy/oxytocin, forceps delivery, long first and second stages, oxytocin compared with syntometrine (oxytocin plus ergometrine maleate), as a prophylactic oxytocic, were identified as significant risk factors. Epidural analgesia contributed indirectly to an increase in the risk of postpartum haemorrhage. The changes in labour ward practice over the last 20 years have resulted in the re-emergence of PPH as a significant problem.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Le déclenchement du travail (amniotomie/ocytocines), les forceps, les longues 1e et 2e phase […] ont été idntifiés comme facteurs de risque significatifs de l’hémorragie postpartum.

Argument (English):

Induction of labour by amniotomy/oxytocin, forceps delivery, long first and second stages […] were identified as significant risk factors of postpartum haemorrhage.

Argumento (português):

Argumento (español):

Keywords :

➡ amniotomy ; active management of labor ; oxytocin ; epidural ; instrumental delivery ; induction of labor ; forceps delivery ; postpartum hemorrhage ; post-term pregnancy

Author of this record :

Bernard Bel — 02 Nov 2004