Abstract
Author(s): Alfred ReroÅ, Andrzej Jaworowski, Piotr Ossowski
Introduction. Obstetric hemorrhage is responsible for 10% -15% maternal deaths. Peripartum hemorrhage occurs during 5% of deliveries however prevalence of sever blood loss is in 0,5% of cases. Aim. The aim of the study is to identify relative risk of peripartum hemorrhage in relation to delivery by cesarean section (CC) or natural delivery (ND). Material and method. 15849 deliveries were retrospective analyzed and 16 cases of massive peripartum hemorrhage were identified (0,94/1000) – 2 after natural delivery and 13 after cesarean section. Results. The relative risk (RR) of perineal hemorrhage is almost 7 times higher in women who underwent CC compared to ND (RR=6,95; CI: 1,38-30,56). Key words: delivery, gestation, obstetric hemorrhage, postpartum hysterectomy