REVISTA DE EDUCATIE MEDICALA CONTINUA DEDICATA GINECOLOGILOR,
OBSTETRICENILOR, MOASELOR SI ASISTENTILOR MEDICALI DIN ROMANIA

<- Home <- Arhive <- Anul 11, Nr. 41, September 2023



RevistaGinecologia11(41)6-10(2023)
© VERSA PULS MEDIA, S.R.L.


Postpartum hemorrhage – a major obstetrical emergency. Causes and treatment

B.I. Olariu, B.M. Vlădan, I.V. Stoenică, G.P. Gorecki, R.M. Sima, L. Pleș


Rezumat: Introduction. Postpartum hemorrhage (PPH) is a significant maternal health concern, representing a major cause of obstetric mortality globally. Materials and method. In this retrospective study, we analyzed cases of postpartum hemorrhage, from April 2019 to April 2021, from the “Bucur” Maternity, Bucharest. Results. This study included 100 cases of postpartum hemorrhage. Among them, 30 occurred after caesarean sections and 70 occurred following vaginal deliveries. The identified causes of PPH after caesarean section were uterine atony (90%), placental retention (6.66%) and uterine rupture (3.33%). For PPH after vaginal delivery, uterine atony was identified as the most common cause in 38 patients. Multiparity was the most frequent cause of uterine atony. Conclusions. The most common cause of postpartum hemorrhage was uterine atony, being more frequent after caesarean section. SARS-CoV-2 infection correlated with an increased frequency of uterine atony and postpartum hemorrhage.
Cuvinte cheie: postpartum hemorrhage, uterine atony, caesarean section.

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