Postpartum Hemorrhage in Pregnant Women with Previous Uterine Surgeries

Mohamed Aboul Fotouh, Ahmed; Abdelfattah, Ashraf Talaat; Nosser, Waeel Sabry; Mohammed, Ahmed Ismail

doi:10.21608/zumj.2023.231828.2860

Postpartum Hemorrhage in Pregnant Women with Previous Uterine Surgeries

Document Type : Review Articles

Authors

¹ Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

² Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Egypt.

10.21608/zumj.2023.231828.2860

Abstract

Background: The most prevalent preventable reason of maternal sickness and death worldwide remains to be postpartum hemorrhage (PPH). Cohort investigations and randomized clinical trials that assess crucial strategies for anticipating, preventing, and controlling PPH continue to be of utmost importance given the rising frequency of the condition. One woman dies from PPH every 7 minutes globally, making it a clinically important cause of maternal morbidity and death. Therefore, it's crucial to quickly identify patients who are at risk for PPH, actively manage the 3rd stage of labor on a regular basis, quickly measure blood loss, monitor patients appropriately, and treat PPH. Epidemiology The prevalence of PPH varies greatly with age, being more prevalent in low socioeconomic status areas and between 1 and 5 percent of births, according to a realistic estimate. Numerous variables, including the aging of mothers at delivery, the increased frequency of multiple pregnancies as a result of assisted reproductive technologies, and the increasing caesarean section rates, have been linked to the rise in PPH death rates. According to studies, early detection and more timely and effective treatment might reduce the number of PPH-related fatalities.

Conclusions: Postpartum hemorrhage (PPH) continues to be a major cause of maternal morbidity and mortality and a potentially life-threatening obstetric complication despite important advances in treatment over the past few decades. It is also linked to serious illnesses like hypovolemic shock, acute renal failure, disseminated intravascular coagulation, multi-organ failure, and acute respiratory distress syndrome.

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