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Williams Obstetrics, 23e
| Section VII. Obstetrical Complications > |
Chapter 35. Obstetrical Hemorrhage
Sections: Obstetrical Hemorrhage: Introduction, Overview, Implications, and Classification, Causes of Obstetrical Hemorrhage, Consumptive Coagulopathy, Management of Hemorrhage, Surgical Management of Hemorrhage, References.
Topics Discussed: bleeding in pregnancy.
Excerpt:"Obstetrics is "bloody business." Although medical advances have dramatically reduced the dangers of childbirth, death from hemorrhage still remains a leading cause of maternal mortality. Hemorrhage was a direct cause of more than 17 percent of 4200 pregnancy-related maternal deaths in the United States as ascertained from the Pregnancy Mortality Surveillance System of the Centers for Disease Control and Prevention (Gerberding, 2003). Hemorrhage was the major factor for maternal deaths in the United Kingdom reported in the Confidential Enquiry into Maternal and Child Health (2008). In a private-sector report from the Hospital Corporation of America, Clark and co-workers (2008) reported that 12 percent of maternal deaths were caused by obstetrical hemorrhage. Finally, in many developed countries, hemorrhage is a leading reason for admission of pregnant women to intensive care units (Gilbert, 2003; Hazelgrove, 2001; Zeeman, 2003; Zwart, 2008, and all their associates)...."
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