ArticleBMC pregnancy and childbirth2022
Impact of efforts to prevent maternal deaths due to obstetric hemorrhage on trends in epidemiology and management of severe postpartum hemorrhage in Japan: a nationwide retrospective study.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- Accuracy of Blood Loss Estimation and Identification of Factors Contributing to Early Postpartum Hemorrhage Following Vaginal Delivery.Journal of clinical medicine · 2026Article
- Massive Vaginal Hemorrhage after Cesarean Delivery: A Newly Recognized Mechanism of Postpartum Hemorrhage due to Lateral Uterine Artery Injury.JMA journal · 2026Article
- Clinical features and outcomes of peripartum obstetric patients admitted to the intensive care unit: A nationwide inpatient database in Japan.Critical care (London, England) · 2025Observational
- Hysterectomy for postpartum hemorrhage in Japan: Diagnostic code validation and nationwide descriptive analysis.The journal of obstetrics and gynaecology research · 2025Article
- Global, regional, and national trends in maternal hemorrhage, 1992-2021: a hierarchical cluster and age-period-cohort analysis of the Global Burden of Disease Study 2021 and projections to 2036.BMC public health · 2025Article
- Dynamic Computed Tomography Findings as Indicators of Uterine Artery Embolization in Postpartum Hemorrhage.JAMA network open · 2025Article
- A rapid and effective approach to building a life-saving multidisciplinary team for transferred postpartum haemorrhage patients: leveraging trauma experience-a retrospective study.BMC pregnancy and childbirth · 2025Article
- Article
- Postpartum Hemorrhage.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025Review
- The mode of delivery after operative fixation of pelvic ring fractures-a retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies: a retrospective analysis.Journal of anesthesia · 2024Article
- Regional disparities in primary cesarean delivery rates in Japan: the role of obstetrician availability.AJOG global reports · 2024Article
- Prenatal hypertension as the risk of eclampsia, HELLP syndrome, and critical obstetric hemorrhage.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Article
- The profile of patients with postpartum hemorrhage admitted to the obstetric intensive care: a cross-sectional study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024Article
- Effectiveness of call system implementation for postpartum hemorrhage in a tertiary emergency medical center: a retrospective cohort study.BMC pregnancy and childbirth · 2023Article
- Incidence and predictors of severe postpartum hemorrhage after cesarean delivery in South Central Ethiopia: a retrospective cohort study.Scientific reports · 2023Article
- Cost-effectiveness analysis of carbetocin for prevention of postpartum hemorrhage in a low-burden high-resource city of China.PloS one · 2022Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Japan Society of Obstetrics and Gynecology and the Japan Association of Obstetricians and Gynecologists have issued the guidelines and recommendations on postpartum hemorrhage since 2010 and have been conducted widespread educational activities from 2012. The aim of this study was to investigate the impact of these efforts by the Societies to prevent maternal deaths due to obstetric hemorrhage on trends in epidemiology and management of severe postpartum hemorrhage in Japan.
methodsA national retrospective cohort study was conducted using the national database of health insurance claims for the period 2012 and 2018. The subjects were all insured women who received a blood transfusion for postpartum hemorrhage. The primary endpoints of this study were hysterectomy and maternal mortality. The etiology of hemorrhage, treatment facility, type of procedure, and blood transfusion volume were tabulated.
resultsWomen with postpartum hemorrhage that underwent transfusion increased from 3.5 to 5.5 per 1000 deliveries between 2012 and 2018. The most common cause of postpartum hemorrhage was atonic hemorrhage. After insurance coverage in 2013, the intrauterine balloon tamponade use increased to 20.3% of postpartum hemorrhages treated with transfusion in 2018, while the proportion of hysterectomy was decreased from 7.6% (2013-2015) to 6.4% (2016-2018) (p < 0.0001). The proportion of postpartum hemorrhage in maternal deaths decreased from 21.1% (2013-2015) to 14.1% (2016-2018) per all maternal deaths cases (p = 0.14). Cases with postpartum hemorrhage managed in large referral hospitals was increased (65.9% in 2012 to 70.4% in 2018) during the study period (p < 0.0001).
conclusionsThe efforts by the Societies to prevent maternal mortality due to obstetric hemorrhage resulted in a significant decrease in the frequency of hysterectomies and a downward trend in maternal mortality due to obstetric hemorrhage.
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