gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Peripartum hemorrhage risk and mode of delivery


Author(s): Alfred Reroń, Andrzej Jaworowski, Piotr Ossowski

Introduction. Obstetric hemorrhage is responsible for 10% -15% maternal deaths. Peripartum hemorrhage occurs during 5% of deliveries however prevalence of sever blood loss is in 0,5% of cases. Aim. The aim of the study is to identify relative risk of peripartum hemorrhage in relation to delivery by cesarean section (CC) or natural delivery (ND). Material and method. 15849 deliveries were retrospective analyzed and 16 cases of massive peripartum hemorrhage were identified (0,94/1000) – 2 after natural delivery and 13 after cesarean section. Results. The relative risk (RR) of perineal hemorrhage is almost 7 times higher in women who underwent CC compared to ND (RR=6,95; CI: 1,38-30,56). Key words: delivery, gestation, obstetric hemorrhage, postpartum hysterectomy