Postpartum Hemorrhage after Cesarean Delivery - Causes and Management Statistics of „Prof. Dr. Panait Sîrbu „ Hospital- Bucharest

Abstract

Postpartum hemorrhages represent a major cause of maternal mortality everywhere in the world and in Romania obstetrical hemorrhages are directly incriminated in 47.85% from the cases reported between 1975 -2010. This retrospective study over a period of five years (2008 - 2012) includes the clinical-statistical analysis of postpartum hemorrhages (PPH) registered in “Prof. Dr. Panait Sîrbu” Clinical Hospital of Obstetrics and Gynecology in Bucharest. During the period under analysis there were 20204 births, out of which 13012 were vaginal and 7192 by caesarean section. There were 853 cases of postpartum hemorrhage with significant clinical manifestations, which required medical management, 4.22% of all births. In 459 cases there were reported hemorrhagic complications after caesarean section (6.368% of caesarean sections), representing 53.81% of postpartum hemorrhage. The severity of intra-operative and post-cesarean bleeding is due to its association to anesthetic risk, which is more important in cesarean, as well as to the associated pathology that indicated the caesarean section in the first place