RT Book, Section
A1 Yeomans, Edward R.
A1 Hoffman, Barbara L.
A1 Gilstrap III, Larry C.
A1 Cunningham, F. Gary
SR Print(0)
ID 1138215709
T1 Management of Postpartum Hemorrhage
T2 Cunningham and Gilstrap's Operative Obstetrics, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071849067
LK obgyn.mhmedical.com/content.aspx?aid=1138215709
RD 2024/04/19
AB In  1986,  the  Centers  for  Disease  Control  and  Prevention  (CDC)  initiated  a  program  of  national  surveillance  of  pregnancy-related  deaths.  It  is  serially  updated  and  can  be  accessed  at:  www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html.  Using  this  database,  Creanga  and  colleagues  (2015)  reported  an  increase  in  the  maternal  mortality  rate  from  7.2  per  100,000  in  1987  to  17.8  per  100,000  in  2009.  It  is  also  clear  from  this  report  that  hemorrhage  remains  a  significant  cause  of  pregnancy-related  deaths,  accounting  for  11.4  percent  of  such  deaths  from  2006  to  2010.  This  is  despite  widespread  recognition  of  the  consequences  of  obstetric  hemorrhage  and  the  availability  of  modern  blood-banking  techniques.  Notably,  the  United  States  is  one  of  the  few  countries  worldwide  that  has  not  reported  a  decline  in  maternal  mortality  rates  but  instead  has  shown  a  significant  rise.  One  worrisome  trend  was  the  marked  racial  disparity  in  pregnancy-related  mortality  rates.  In  data  from  2006  to  2010,  white  women  suffered  12  deaths  per  100,000  births,  whereas  the  rate  for  black  gravidas  was  36.4  deaths  per  100,000  births  (Creanga,  2015).  Also  disturbing  is  that  approximately  90  percent  of  maternal  hemorrhage-related  deaths  have  been  considered  potentially  preventable  (Berg,  2005;  D'Alton,  2014).