Prevention of postpartum hemorrhage

Semin Fetal Neonatal Med. 2020 Oct;25(5):101129. doi: 10.1016/j.siny.2020.101129. Epub 2020 Jul 15.


Postpartum hemorrhage is a leading cause of severe maternal morbidity and mortality worldwide and the United States. While the rates of maternal mortality attributable to hemorrhage are declining, severe maternal morbidity continues to be a growing problem. Efforts in recent years to more appropriately identify patients at risk, define significant hemorrhage, quantify blood loss, and standardize approaches to care in pregnancy and postpartum have led to an increasing preventability of PPH. We aim to review the most current recommendation for the prevention and effective management of obstetric hemorrhage.

Keywords: Management; Massive transfusion; Obstetrical hemorrhage; Postpartum hemorrhage; Prevention.

Publication types

  • Review

MeSH terms

  • Delivery, Obstetric / mortality
  • Female
  • Humans
  • Maternal Mortality
  • Monitoring, Physiologic
  • Postnatal Care / methods*
  • Postpartum Hemorrhage / etiology
  • Postpartum Hemorrhage / mortality*
  • Postpartum Hemorrhage / prevention & control*
  • Pregnancy
  • Risk Factors
  • Severity of Illness Index*
  • United States