ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2018
Risk for postpartum hemorrhage, transfusion, and hemorrhage-related morbidity at low, moderate, and high volume hospitals.
Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predicting postpartum haemorrhage: A systematic review of prognostic models.The Australian & New Zealand journal of obstetrics & gynaecology · 2022Pooled it
- PAD Score: A Clinical Prediction Tool for Disseminated Intravascular Coagulation in Placental Abruption.Journal of clinical medicine · 2026Article
- Increased risk of hemorrhage in patients with mild thrombocytopenia at delivery admission.Pregnancy (Hoboken, N.J.) · 2025Article
- The infection, cervical and perineal lacerations in relation to postpartum hemorrhage following vaginal delivery induced by Cook balloon catheter.Archives of gynecology and obstetrics · 2024Article
- Structures of human prostaglandin FNature communications · 2023Article
- Factors associated with severe maternal outcome in patients admitted to an intensive care unit in northeastern Brazil with postpartum hemorrhage: a retrospective cohort study.BMC pregnancy and childbirth · 2023Article
- Oxytocin receptor DNA methylation is associated with exogenous oxytocin needs during parturition and postpartum hemorrhage.Communications medicine · 2023Article
- Twin Growth Discordance and Risk of Postpartum Hemorrhage: A Retrospective Cohort Study.Frontiers in medicine · 2022Article
- Birth Volume and Geographic Distribution of US Hospitals With Obstetric Services From 2010 to 2018.JAMA network open · 2021Article
- Place of birth and outcomes associated with large volume transfusion: an observational study.BMC pregnancy and childbirth · 2021Observational
- Prehospital assessment and management of postpartum haemorrhage- healthcare personnel's experiences and perspectives.BMC emergency medicine · 2021Article
- Busy day effect on intrapartum adverse maternal outcomes - a population-based study of 601 247 singleton deliveries.BMC pregnancy and childbirth · 2021Article
- Postpartum hemorrhage and risk for postpartum readmission.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021Article
- Factors affecting third-stage management and postpartum hemorrhage in planned midwife-led home and birth center births in the United States.Birth (Berkeley, Calif.) · 2020Article
- Machine Learning and Statistical Models to Predict Postpartum Hemorrhage.Obstetrics and gynecology · 2020Article
- Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand.BMC pregnancy and childbirth · 2020Article
- Improving Healthcare Responses to Obstetric Hemorrhage: Strategies to Mitigate Risk.Risk management and healthcare policy · 2020Review
- Assessing the effect of risk factors on rates of obstetric transfusion over time using two methodological approaches.BMC medical research methodology · 2018Article
- A retrospective analysis of complications associated with postpartum hemorrhage up to 1 year postpartum in mothers with and without a pre-existing mental health diagnosis.Women's health (London, England)Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe objective of this study was to characterize risk for and temporal trends in postpartum hemorrhage across hospitals with different delivery volumes. STUDY
designThis study used the Nationwide Inpatient Sample (NIS) to characterize risk for postpartum hemorrhage from 1998 to 2011. Hospitals were classified as having either low, moderate or high delivery volume (≤1000, 1001 to 2000, >2000 deliveries per year, respectively). The primary outcomes included postpartum hemorrhage, transfusion, and related severe maternal morbidity. Adjusted models were created to assess factors associated with hemorrhage and transfusion.
resultsOf 55,140,088 deliveries included for analysis 1,512,212 (2.7%) had a diagnosis of postpartum hemorrhage and 361,081 (0.7%) received transfusion. Risk for morbidity and transfusion increased over the study period, while the rate of hemorrhage was stable ranging from 2.5 to 2.9%. After adjustment, hospital volume was not a major risk factor for transfusion or hemorrhage. DISCUSSION: While obstetric volume does not appear to be a major risk factor for either transfusion or hemorrhage, given that transfusion and hemorrhage-related maternal morbidity are increasing across hospital volume categories, there is an urgent need to improve obstetrical care for postpartum hemorrhage. Those risk factors are able to discriminate women at increased risk supports routine use of hemorrhage risk assessment.
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