Hi Mandie
We have been collected data about all PPHs over a year in a London teaching hospital and will soon collect data for the same year from a DGH. Finding reliable stats is tricky as reporting varies hugely, with some areas reporting severe PPH as the need for a 4 or 5 unit transfusion, which probably gives more indication of practice than severity of PPH.
The LEMMoN study in the Netherland and the Euphrates study across Europe reported variance in measurement and treatment between units let alone regions and countries.
There are some papers out of Australia showing a rise in PPH regardless of mode of delivery (Ford et al and Crowther et al) and an increase from 5% to 12% with normal deliveries in one city- although I can't remember which paper this is right now- will check and get back to you
If you find something more concrete do let me know!
Annette
Annette Briley
Consultant Midwife/Clinical Trial Manager
Maternal and Fetal Research Unit
10th Floor North Wing
St Thomas' Hospital
LONDON SE1 7EH
tel: 020 7188 3641
fax: 020 7620 1227
mob: 07710 348443
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Mandie Scamell
Sent: 04 November 2009 12:53
To: [log in to unmask]
Subject: National PPH rates
Hi,
Hoping someone might be able to help me!
Have come across interesting ethnographic data RE midwifery perception of
PPH rates and am trying to test the perception against recorded national
rates.
Not with standing difficulties with definition and EBL etc. etc I am looking for
rough ball park figures for the last 20 yrs. While mortality rates from PPH are
easily available, I am having trouble locating stats on the trends in over all
incident rates.
Any suggestions where a stats illiterate researcher should look?
Thanks
Mandie
PS my data suggests midwives think the rate is increasing. Surprising I think
given the moving gate posts where a more symptomatic approach is applied in
the defining process and where an appreciation that physiological third stage
management is likely to be associated with an increase in initial loss (which,
incidentally, is considered to be normal)
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