Trends, causes and factors associated with primary Postpartum Haemorrhage (PPH) in Ireland: A review of one million hospital childbirths

dc.contributor.authorFitzgerald, Imeldaen
dc.contributor.authorCorcoran, Paulen
dc.contributor.authorMcKernan, Joyeen
dc.contributor.authorO'Connell, Rhonaen
dc.contributor.authorGreene, Richard A.en
dc.date.accessioned2024-08-26T09:26:59Z
dc.date.available2024-08-26T09:26:59Z
dc.date.issued2024-08-21en
dc.description.abstractObjective: To analyse temporal trends for primary Postpartum Haemorrhage (PPH), Major Obstetric Haemorrhage (MOH) between 2005 and 2021 and to examine the causes and factors contributing to the risk of PPH during 2017–2021. Methods: International ICD-10-AM diagnostic codes from hospital discharge records were used to identify cases of PPH. Temporal trends in PPH and MOH incidence were illustrated graphically. Poisson regression was used to assess the time trends and to examine factors associated with the risk of PPH during 2017–2021. Results: A total of 1,003,799 childbirth hospitalisations were recorded; 5.6% included a diagnosis of primary PPH. Risk increased almost fourfold from 2.5% in 2005 to 9.6% in 2021. The ICD-10 AM code for other immediate primary PPH was recorded for 85% of PPH cases in 2017–2021 whereas a diagnosis of uterine inertia/atony was associated with just 3.6% of the cases. Respectively, trauma-related, tissue-related and thrombin-related causes were associated with one third, 4.2% and 0.5% of cases. A wide range of factors relating to the woman including comorbidities, mode of delivery, labour-related interventions and associated traumas increased risk of PPH but placental complications, especially morbidly adherent placenta, were strong risk factors. Conclusions: Improvement in detection and anticipation of placental complications may be effective in addressing the increasing trend of PPH, however, the trends of increasing C-sections and other interventions may also need to be addressed while staff education and quality improvement projects will have a role to play.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFitzgerald, I., Corcoran, P., McKernan, J., Connell, R.O. and Greene, R.A. (2024) ‘Trends, causes and factors associated with primary Postpartum Haemorrhage (Pph) in Ireland: A review of one million hospital childbirths’, European Journal of Obstetrics & Gynecology and Reproductive Biology, 301, pp. 258–263. Available at: https://doi.org/10.1016/j.ejogrb.2024.08.011.en
dc.identifier.doihttps://doi.org/10.1016/j.ejogrb.2024.08.011en
dc.identifier.endpage263en
dc.identifier.issn0301-2115en
dc.identifier.journaltitleEuropean Journal of Obstetrics & Gynecology and Reproductive Biologyen
dc.identifier.startpage258en
dc.identifier.urihttps://hdl.handle.net/10468/16226
dc.identifier.volume301en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofEuropean Journal of Obstetrics Gynecology and Reproductive Biologyen
dc.rights© 2024 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)en
dc.rights.uriYesen
dc.subjectPostpartum haemorrhage (PPH)en
dc.subjectMajor Obstetric Haemorrhage (MOH)en
dc.subjectTrendsen
dc.subjectCausesen
dc.subjectContributing Factorsen
dc.titleTrends, causes and factors associated with primary Postpartum Haemorrhage (PPH) in Ireland: A review of one million hospital childbirthsen
dc.typeArticle (peer-reviewed)en
oaire.citation.volume301en
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