Bleeding in pregnancy that occurs before, during, or after childbirth
Medical condition
Obstetrical bleeding Other names Maternal bleeding, obstetrical hemorrhage, obstetric haemorrhage,[ 1] maternal hemorrhage Specialty Obstetrics Frequency 8.7 million (2015)[ 2] Deaths 83,000 (2015)[ 3]
Obstetrical bleeding is bleeding in pregnancy that occurs before , during, or after childbirth .[ 4] Bleeding before childbirth is that which occurs after 24 weeks of pregnancy.[ 4] Bleeding may be vaginal or less commonly into the abdominal cavity. Bleeding which occurs before 24 weeks is known as early pregnancy bleeding .
Causes of bleeding before and during childbirth include cervicitis , placenta previa , placental abruption and uterine rupture .[ 4] [ 5] Causes of bleeding after childbirth include poor contraction of the uterus , retained products of conception , and bleeding disorders .[ 4]
About 8.7 million cases of severe maternal bleeding occurred in 2015[ 2] resulting in 83,000 deaths.[ 3] Between 2003 and 2009, bleeding accounted for 27% of maternal deaths globally.[ 6]
^ "ICD-11 for Mortality and Morbidity Statistics" . World Health Organization . Retrieved 2023-12-05 .
^ a b Vos, Theo; Allen, Christine; Arora, Megha; Barber, Ryan M.; Bhutta, Zulfiqar A.; Brown, Alexandria; Carter, Austin; Casey, Daniel C.; Charlson, Fiona J.; Chen, Alan Z.; Coggeshall, Megan; Cornaby, Leslie; Dandona, Lalit; Dicker, Daniel J.; Dilegge, Tina; Erskine, Holly E.; Ferrari, Alize J.; Fitzmaurice, Christina; Fleming, Tom; Forouzanfar, Mohammad H.; Fullman, Nancy; Gething, Peter W.; Goldberg, Ellen M.; Graetz, Nicholas; Haagsma, Juanita A.; Hay, Simon I.; Johnson, Catherine O.; Kassebaum, Nicholas J.; Kawashima, Toana; et al. (October 2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015" . Lancet . 388 (10053): 1545–1602. doi :10.1016/S0140-6736(16)31678-6 . PMC 5055577 . PMID 27733282 .
^ a b Wang, Haidong; Naghavi, Mohsen; Allen, Christine; Barber, Ryan M.; Bhutta, Zulfiqar A.; Carter, Austin; Casey, Daniel C.; Charlson, Fiona J.; Chen, Alan Zian; Coates, Matthew M.; Coggeshall, Megan; Dandona, Lalit; Dicker, Daniel J.; Erskine, Holly E.; Ferrari, Alize J.; Fitzmaurice, Christina; Foreman, Kyle; Forouzanfar, Mohammad H.; Fraser, Maya S.; Fullman, Nancy; Gething, Peter W.; Goldberg, Ellen M.; Graetz, Nicholas; Haagsma, Juanita A.; Hay, Simon I.; Huynh, Chantal; Johnson, Catherine O.; Kassebaum, Nicholas J.; Kinfu, Yohannes; et al. (October 2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" . Lancet . 388 (10053): 1459–1544. doi :10.1016/S0140-6736(16)31012-1 . PMC 5388903 . PMID 27733281 .
^ a b c d Walfish, M.; Neuman, A.; Wlody, D. (December 2009). "Maternal haemorrhage" . British Journal of Anaesthesia . 103 : i47–i56. doi :10.1093/bja/aep303 . PMID 20007990 .
^ Stables, Dorothy; Rankin, Jean (2010). Physiology in Childbearing: With Anatomy and Related Biosciences . Elsevier Health Sciences. p. 429. ISBN 978-0702044113 .
^ Say, Lale; Chou, Doris; Gemmill, Alison; Tunçalp, Özge; Moller, Ann-Beth; Daniels, Jane; Gülmezoglu, A Metin; Temmerman, Marleen; Alkema, Leontine (2014). "Global causes of maternal death: a WHO systematic analysis" . The Lancet Global Health . 2 (6): e323–e333. doi :10.1016/S2214-109X(14)70227-X . hdl :1854/LU-5796925 . ISSN 2214-109X . PMID 25103301 .