Show Summary Details
Page of

Major obstetric haemorrhage 

Major obstetric haemorrhage
Chapter:
Major obstetric haemorrhage
Author(s):

Sue Catling

DOI:
10.1093/med/9780199208326.003.0016
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 06 May 2021

Sue Catling

Definition, incidence and impact 434

Organizational aspects 436

Clinical management overview 438

Directed therapy 442

Blood transfusion and coagulation factors 446

New innovations 450

Anaesthesia 452

Continuing care 454

The CEMACH reports that 14 women in the UK died directly from obstetric haemorrhage in the period 2003–2005, i.e. 6.6 deaths per million maternities. Haemorrhage is the third most common cause of direct maternal deaths after thromboembolism, and pre-eclampsia. It is salutary to realize that not only is the current death rate more than twice that of the triennium 1997–1999, when there were 7 deaths, i.e. 3.3 deaths per million maternities, but the latest figures have returned to that of 20 years ago. CEMACH also highlights that 58% of the deaths involved ‘substandard care’—these women may well have survived with optimal management....

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.