title: Obstetric hemorrhage: A global review.
abstract: Postpartum hemorrhage remains the number one cause of maternal death globally despite the fact that it is largely a preventable and most often a treatable condition. While the global problem is appreciated, some may not realize that in the United States postpartum hemorrhage is a leading cause of mortality and unfortunately, the incidence is on the rise. In New York, obstetric hemorrhage is the second leading cause of maternal mortality in the state. National data suggests that hemorrhage is disproportionally overrepresented as a contributor to severe maternal morbidity and we suspect as we explore further this will be true in New York State as well. Given the persistent and significant contribution to maternal mortality, it may be useful to analyze the persistence of this largely preventable cause of death within the framework of the historic "Three Delays" model of maternal mortality. The ongoing national and statewide problem with postpartum hemorrhage will be reviewed in this context of delays in an effort to inform potential solutions.
authors.affiliation: Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, 1825 Eastchester Rd, Bronx, NY 10461. Electronic address: dgoffman@montefiore.org.
authors.forename: Dena
authors.initials: D
authors.lastname: Goffman
authors.affiliation: Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, 1825 Eastchester Rd, Bronx, NY 10461.
authors.forename: Lisa
authors.initials: L
authors.lastname: Nathan
authors.affiliation: Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, 1825 Eastchester Rd, Bronx, NY 10461.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Chazotte
mesh_terms: D036861:Delivery, Obstetric / Q000592:standards*; D005260:Female; D014943:Global Health; D006801:Humans; D008428:Maternal Mortality / Q000639:trends; D009518:New York / Q000453:epidemiology; D064872:Patient Care Bundles / Q000592:standards*; D061214:Patient Safety / Q000592:standards; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000401:mortality* / Q000517:prevention & control*; D011247:Pregnancy
keywords: Obstetric hemorrhage; Patient safety bundles; Postpartum hemorrhage