PPH risk 'increasing in developed world'

Women in western countries are increasingly at risk of post-partum haemorrhage (PPH) immediately after giving birth, it has been suggested.

Australian researchers have discovered a rise in the number of new mothers suffering severe blood loss as a result of labour.

Reported in the BMC Pregnancy and Childbirth journal, Christine Roberts from the University of Sydney and Royal North Shore Hospital found that 6,242 out of a 500,603 woman sample in New South Wales suffered adverse outcomes form childbirth, with 60 per cent experiencing PPH.

Between 1999 and 2004, the number of women experiencing difficulties increased by 20 per cent, according to the researchers.

Dr Roberts says active management of the third stage of labour, delivery of the placenta, is effective in reducing PPH.

She adds: "Unfortunately, adherence to active third-stage management recommendations is poorly reported and/or suboptimal in Australia, and significant variations in policies and practice have been reported in Europe."

The most common causes of PPH are said to be retained placenta or fragments of placenta and vulvar or vaginal lacerations.ADNFCR-2094-ID-19047454-ADNFCR