Primary Postpartum Haemorrhage in Tasmania 1982–1986

摘要: EDITORIAL COMMENT: This paper provides valuable statistics regarding the most common life-threatening complication that occurs in delivery room. The overall incidence of primary postpartum haemorrhage (PPH) was 7.2%, and rate significantly higher after either instrumental (13.7%) or Caesarean section (15.4%), than normal vaginal (3.9%). does not discuss influence episiotomy retained placenta, authors do tell us method management third stage labour which they favour. Blood transfusion are quoted but high PPH associated with section, antepartum multiple pregnancy, suggest it is prudent to cross-match blood patients these complications. In one hospital series 15,860 deliveries (1) 3.7% (excluding sections unless loss exceeded 600 ml operation), 1 3 this received a transfusion, 200 required hysterectomy. In there were 2,305 8.3%, 100 hysterectomy. Postpartum share special association because, if measured accurately at operation, mean volume (± SD) 1,290 ± 240 for first 1,012 380 repeat operations (2). presence an perineal tear also important, terms average loss, delivered vaginally; Paull Ratten (3) reported that, both nulliparas multiparas, amount more doubled sutured comparison those intact perineum. Estimation difficult, especially section. Because wise perform haemoglobin estimation puerperium — results often surprise! It editor's practice advise all continue iron tablets months minimize risk anaemia. Summary: Primary remains significant problem modern obstetric practice. factors Tasmania over 5-year period studied. mode delivery, anaesthesia, birth-weight, induction augmentation labour, hypertension found be important factors. placenta considered study.