Practice Bulletin No. 183: postpartum hemorrhage

doi:10.1097/aog.0000000000002351

Cited by 1,406Maternal and fetal healthcareBlood transfusion and managementMaternal and Perinatal Health Interventions

Practice Bulletin No. 183: postpartum hemorrhage

·2017·Obstetrics & Gynecology

DOI 10.1097/aog.0000000000002351

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Abstract

Maternal hemorrhage, defined as a cumulative blood loss of greater than or equal to 1,000 mL or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours after the birth process, remains the leading cause of maternal mortality worldwide (1). Additional important secondary sequelae from hemorrhage exist and include adult respiratory distress syndrome, shock, disseminated intravascular coagulation, acute renal failure, loss of fertility, and pituitary necrosis (Sheehan syndrome). Hemorrhage that leads to blood transfusion is the leading cause of severe maternal morbidity in the United States closely followed by disseminated intravascular coagulation (2). In the United States, the rate of postpartum hemorrhage increased 26% between 1994 and 2006 primarily because of increased rates of atony (3). In contrast, maternal mortality from postpartum obstetric hemorrhage has decreased since the late 1980s and accounted for slightly more than 10% of maternal mortalities (approximately 1.7 deaths per 100,000 live births) in 2009 (2, 4). This observed decrease in mortality is associated with increasing rates of transfusion and peripartum hysterectomy (2–4). The purpose of this Practice Bulletin is to discuss the risk factors for postpartum hemorrhage as well as its evaluation, prevention, and management. In addition, this document will encourage obstetrician–gynecologists and other obstetric care providers to play key roles in implementing standardized bundles of care (eg, policies, guidelines, and algorithms) for the management of postpartum hemorrhage.

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Obstetric Care Consensus No. 7: Placenta Accreta Spectrum
(2018) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000002983 · Cited by 552 · see citing works
Placenta accreta spectrum
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Disease Severity and Perinatal Outcomes of Pregnant Patients With Coronavirus Disease 2019 (COVID-19)
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FIGO recommendations on the management of postpartum hemorrhage 2022
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Postpartum Hemorrhage
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Tranexamic Acid for the Prevention of Blood Loss after Vaginal Delivery
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Risk factors for severe postpartum hemorrhage: a case-control study
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Tranexamic Acid for the Prevention of Blood Loss after Cesarean Delivery
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Anemia in Pregnancy
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A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes
Lim, G., Facco, F., Nathan, N., Waters, J. H., Wong, C. A., & Eltzschig, H. K. (2018) · Anesthesiology · doi:10.1097/aln.0000000000002182 · Cited by 227 · see citing works
Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis
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Quantitative Blood Loss in Obstetric Hemorrhage
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Team-Based Care of Women With Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum
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Different types of dietary advice for women with gestational diabetes mellitus
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Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes
Sarkar, M. A., Grab, J. D., Dodge, J. L., Gunderson, E. P., Rubin, J. B., Irani, R. A., Cedars, M. I., & Terrault, N. A. (2020) · Journal of Hepatology · doi:10.1016/j.jhep.2020.03.049 · Cited by 182 · see citing works
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Machine Learning and Statistical Models to Predict Postpartum Hemorrhage
Venkatesh, K. K., Strauss, R. A., Grotegut, C. A., Heine, R. P., Chescheir, N. C., Stringer, J. S. A., Stamilio, D. M., Menard, K. M., & Jelovsek, J. E. (2020) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003759 · Cited by 188 · see citing works
Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study
Liu, C., Yu, F., Xu, Y., Li, J.-S., Guan, Z., Sun, M., Liu, C., He, F., & Chen, D. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03818-1 · Cited by 171 · see citing works
Postpartum Hemorrhage Trends and Outcomes in the United States, 2000–2019
Corbetta-Rastelli, C. M., Friedman, A. M., Sobhani, N. C., Arditi, B., Goffman, D., & Wen, T. (2022) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000004972 · Cited by 174 · see citing works
Urinary phthalate metabolites and ovarian reserve among women seeking infertility care
Messerlian, C., Souter, I. C., Gaskins, A. J., Williams, P. L., Ford, J. B., Chiu, Y., Calafat, A. M., & Hauser, R. B. (2015) · Human Reproduction · doi:10.1093/humrep/dev292 · Cited by 166 · see citing works
A systematic review and meta-analysis of the effects of antenatal anxiety on postpartum outcomes
Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S., Dennis, C., Steiner, M., Brown, C., Cheung, A., et al. (2018) · Archives of Women's Mental Health · doi:10.1007/s00737-018-0930-2 · Cited by 141 · see citing works
Pregnancy Outcomes in Women of Advanced Maternal Age: a Retrospective Cohort Study from China
Shan, D., Qiu, P., Wu, Y., Chen, Q., Li, A., Ramadoss, S., Wang, R., & Hu, Y. (2018) · Scientific Reports · doi:10.1038/s41598-018-29889-3 · Cited by 152 · see citing works
Maternal body mass index and pregnancy outcomes: a systematic review and metaanalysis
D’Souza, R., Horyn, I., Pavalagantharajah, S., Zaffar, N., & Jacob, C.-E. (2019) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2019.100041 · Cited by 150 · see citing works
Does prenatal stress alter the developing connectome?
Scheinost, D., Sinha, R., Cross, S., Kwon, S. H., Sze, G. K., Constable, R. T., & Ment, L. R. (2016) · Pediatric Research · doi:10.1038/pr.2016.197 · Cited by 143 · see citing works
Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study
Sharma, S. K., Nehra, A., Sinha, S., Soneja, M., Sunesh, K., Sreenivas, V., & Vedita, D. (2015) · Sleep And Breathing · doi:10.1007/s11325-015-1188-9 · Cited by 141 · see citing works
The Incidence of Postpartum Hemorrhage in Pregnant Women with Placenta Previa: A Systematic Review and Meta-Analysis
Fan, D., Xia, Q., Liu, L., Wu, S., Tian, G., Wang, W., Wu, S., Guo, X., & Liu, Z. (2017) · PLOS ONE · doi:10.1371/journal.pone.0170194 · Cited by 115 · see citing works
ACOG Practice Bulletin No. 211: Critical Care in Pregnancy
(2019) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003241 · Cited by 115 · see citing works
Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management
Brandt, J. S., & Ananth, C. V. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.06.059 · Cited by 115 · see citing works
Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta
Wu, Q., Liu, Z., Zhao, X., Liu, C., Wang, Y., Chu, Q., Wang, X., & Chen, Z. (2016) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-016-1418-y · Cited by 114 · see citing works
Maternal Mortality in Low and Middle-Income Countries
Lawrence, E. R., Klein, T. J., & Beyuo, T. K. (2022) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2022.07.001 · Cited by 126 · see citing works
National and International Guidelines for Patient Blood Management in Obstetrics: A Qualitative Review
Shaylor, R., Weiniger, C. F., Austin, N. S., Tzabazis, A., Shander, A., Goodnough, L. T., & Butwick, A. J. (2016) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000001473 · Cited by 109 · see citing works
Retained placenta after vaginal delivery: risk factors and management
Perlman, N. C., & Carusi, D. A. (2019) · International Journal of Women s Health · doi:10.2147/ijwh.s218933 · Cited by 107 · see citing works
Incidence and risk factors for postpartum hemorrhage among transvaginal deliveries at a tertiary perinatal medical facility in Japan
Fukami, T., Koga, H., Goto, M., Ando, M., Matsuoka, S., 遠山, 篤., Yamamoto, H., Nakamura, S., Koyanagi, T., To, Y., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0208873 · Cited by 105 · see citing works
Effect of Maternal Body Mass Index on Postpartum Hemorrhage
Butwick, A. J., Abreo, A. M., Bateman, B. T., Lee, H. C., El-Sayed, Y. Y., Stephansson, O., & Flood, P. D. (2018) · Anesthesiology · doi:10.1097/aln.0000000000002082 · Cited by 102 · see citing works
Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes
Brown, J., Ceysens, G., & Boulvain, M. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012202.pub2 · Cited by 101 · see citing works
Epidemiology, prevention and management of early postpartum hemorrhage — a systematic review
Feduniw, S., Warzecha, D., Szymusik, I., & Wielgoś, M. (2020) · Ginekologia Polska · doi:10.5603/gp.2020.0009 · Cited by 97 · see citing works
General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic
Stephens, A. J., Barton, J. R., Bentum, N. A. A., Blackwell, S. C., & Sibai, B. M. (2020) · American Journal of Perinatology · doi:10.1055/s-0040-1710308 · Cited by 97 · see citing works
Oral anti-diabetic pharmacological therapies for the treatment of women with gestational diabetes
Brown, J., Martis, R., Hughes, B., Rowan, J., & Crowther, C. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011967.pub2 · Cited by 95 · see citing works
Peripartum Haemorrhage, Diagnosis and Therapy. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry No. 015/063, March 2016)
Schlembach, D., Helmer, H., Henrich, W., von Heymann, C., Kainer, F., Korte, W. C., Kühnert, M., Lier, H., Maul, H., Rath, W. H., et al. (2018) · Geburtshilfe und Frauenheilkunde · doi:10.1055/a-0582-0122 · Cited by 94 · see citing works
Patient blood management (PBM) in pregnancy and childbirth: literature review and expert opinion
Surbek, D., Vial, Y., Girard, T., Breymann, C., Bencaiova, G., Baud, D., Hornung, R., Taleghani, B. M., & Hösli, I. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05374-8 · Cited by 84 · see citing works
Endometriosis in the era of precision medicine and impact on sexual and reproductive health across the lifespan and in diverse populations
Giudice, L. C., Oskotsky, T., Falako, S., Opoku‐Anane, J., & Sirota, M. (2023) · The FASEB Journal · doi:10.1096/fj.202300907 · Cited by 105 · see citing works
Pregnancy and delivery in women with von Willebrand disease
Castaman, G., & James, P. (2019) · European Journal Of Haematology · doi:10.1111/ejh.13250 · Cited by 92 · see citing works
A review and comparison of common maternal positions during the second-stage of labor
Huang, J., Zang, Y., Ren, L., Li, F., & Lu, H. S. (2019) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2019.06.007 · Cited by 92 · see citing works
Biocultural perspectives on maternal mortality and obstetrical death from the past to the present
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Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-10
Volume: 130
Issue: 4
Pages: e168-e186
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0000000000002351
OpenAlex: W2786382895
Semantic Scholar: 70dafd2c828372fe87567d6d264e7bb158f81531
Cited by: 1,406
References: 2,307
Citations by year: 2026: 152 · 2025: 174 · 2024: 151 · 2023: 163 · 2022: 152 · 2021: 174 · 2020: 138 · 2019: 106 · 2018: 77 · 2017: 52 · 2016: 47 · 2015: 17 · 2012: 1
FWCI: 111.31
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
Health Sciences › Medicine › Biochemistry › Blood transfusion and management
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: postpartum hemorrhage, maternal mortality, risk factors, prevention, uterine atony, blood transfusion, peripartum hysterectomy, Sheehan's syndrome, disseminated intravascular coagulation, obstetric care
MeSH terms: Female, Postpartum Hemorrhage, Humans, Obstetrics, Pregnancy, Risk Factors, United States, Disease Management, Standard of Care, Maternal Death

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Practice Bulletin No. 183: postpartum hemorrhage

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