Prevalence and risk factors of severe obstetric haemorrhage

BJOG : an International Journal of Obstetrics and Gynaecology
I Al-ZirqiB Stray-Pedersen

Abstract

To determine the prevalence, causes, risk factors and acute maternal complications of severe obstetric haemorrhage. Population-based registry study. All women giving birth (307,415) from 1 January 1999 to 30 April 2004 registered in the Medical Birth Registry of Norway. Information about socio-economic risk factors was obtained from Statistics Norway. Cross-tabulation was used to study prevalence, causes and acute maternal complications of severe obstetric haemorrhage. Associations of severe obstetric haemorrhage with demographic, medical and obstetric risk factors were estimated using multiple logistic regression models. Severe obstetric haemorrhage (blood loss of > 1500 ml or blood transfusion). Severe obstetric haemorrhage was identified in 3501 women (1.1%). Uterine atony, retained placenta and trauma were identified causes in 30, 18 and 13.9% of women, respectively. The demographic factors of a maternal age of > or =30 years and South-East Asian ethnicity were significantly associated with an increased risk of haemorrhage. The risk was lower in women of Middle Eastern ethnicity, more than three and two times higher for emergency caesarean delivery and elective caesarean than for vaginal birth, respectively, and substantial...Continue Reading

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