The DOI matches its Crossref record; 2,308 of the 2,308 references it cites were found in a registry or an index.
Practice Bulletin No. 183: Postpartum Hemorrhage
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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Metadata
- Venue
- Obstetrics & Gynecology
- Published
- 2017-10
- Volume
- 130
- Issue
- 4
- Pages
- e168-e186
- ISSN
- 0029-7844 (ISSN-L)
- 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
- 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 › Hematology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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