Disparities in obstetric hemorrhage outcomes
Document Type
Journal Article
Publication Date
1-1-2022
Journal
Research and practice in thrombosis and haemostasis
Volume
6
Issue
1
DOI
10.1002/rth2.12656
Keywords
blood availability; coagulopathy; hemorrhage; maternal mortality; pregnancy
Abstract
Both the maternal and fetal outcomes of pregnancy vary greatly according to a pregnant woman's community and her condition. The most devastating outcome is the death of a mother. In 2017, there were ≈295,000 maternal deaths globally with dramatic differences in maternal mortality based on geographic region, country, and women's underlying conditions. Worldwide, the leading cause of maternal death is hemorrhage, comprising 94% of maternal deaths, with most cases occurring in low- or middle-income countries. Whether a hemorrhage originates from inside the uterus (80%-90%), from lacerations or incisions (10%-20%), or from an underlying coagulopathy (<1%), an acute acquired coagulopathy will evolve unless the hemorrhage is controlled. In low- or middle-income countries, the full range of resources to control hemorrhage is not available, but besides the usual obstetric measures, blood availability, hemostatic medication, and hematologic expertise are necessary to save mothers' lives. Hemostasis and thrombosis experts can address the disparities in obstetric hemorrhage outcomes not only as providers but as consultants, researchers, and advocates.
APA Citation
James, Andra H.; Federspiel, Jerome J.; and Ahmadzia, Homa K., "Disparities in obstetric hemorrhage outcomes" (2022). GW Authored Works. Paper 193.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/193
Department
Obstetrics and Gynecology