Prevalence and Incidence of Postpartum hemorrhage
Postpartum hemorrhage Prevalence: Book Excerpts
Prevalence/Incidence of Postpartum hemorrhage: Online Medical Books
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Cesarean birth:
Causes and incidence
(Professional Guide to Diseases (Eighth Edition))
The most common reasons for cesarean birth are malpresentation (such as shoulder or face presentation), fetal intolerance of labor distress, cephalopelvic disproportion ([CPD] the pelvis is too small to accommodate the fetal head), certain cases of toxemia, previous cesarean birth, and inadequate progress in labor (failure of induction).
Conditions causing fetal distress that indicate a need for cesarean birth include prolapsed cord with a live fetus, fetal hypoxia, abnormal fetal heart rate patterns, unfavorable intrauterine environment (from infection), and moderate to severe Rh isoimmunization. Less common maternal conditions that may necessitate cesarean birth include complete placenta previa, abruptio placentae, placenta accreta, malignant tumors, and chronic diseases in which delivery is indicated before term.
Cesarean birth may also be necessary if induction is contraindicated or difficult or if advanced labor increases the risk of morbidity and mortality.
In the case of a previous cesarean delivery, some physicians allow a subsequent vaginal delivery if the cesarean wasn’t classic or if the original reason for the cesarean no longer exists. However, vaginal delivery risks uterine rupture if the uterus is scarred.
The rising incidence of cesarean birth coincides with recent medical and technologic advances in fetal and placental surveillance and care. In the United States, 9% to 16% of all pregnancies terminate in cesarean births, rising to 17% to 25% in perinatal centers that handle high-risk deliveries.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
About prevalence and incidence statistics:
The term 'prevalence' of Postpartum hemorrhage usually refers to the estimated population
of people who are managing Postpartum hemorrhage at any given time.
The term 'incidence' of Postpartum hemorrhage refers to the annual diagnosis rate,
or the number of new cases of Postpartum hemorrhage diagnosed each year.
Hence, these two statistics types can differ:
a short-lived disease like flu can have high annual incidence but low prevalence,
but a life-long disease like diabetes has a low annual incidence but high prevalence.
For more information see about prevalence and incidence statistics.
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