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Postpartum haemorrhage occurrence and recurrence: a population-based study

Jane B Ford, Christine L Roberts, Jane C Bell, Charles S Algert and Jonathan M Morris
Med J Aust 2008; 188 (12): . || doi: 10.5694/j.1326-5377.2008.tb01859.x
Published online: 16 June 2008

In reply: Safety and appropriateness are important principles underlying the provision of health care. Maternity care in Australia requires that women are offered care in an environment that is appropriate to their level of risk. Such a risk-management approach requires accurate data to inform the process, including accurate identification of women who may access local services as well as those who may benefit from higher levels of care. The aim of our study was to present risk estimates of recurrent postpartum haemorrhage (PPH) to better inform decision making by both clinicians and women about subsequent pregnancies.


  • 1 Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, Sydney, NSW.
  • 2 Department of Obstetrics and Gynaecology, Northern Clinical School, University of Sydney, Sydney, NSW.


Correspondence: jford@med.usyd.edu.au

  • 1. National Centre for Classification in Health. The international statistical classification of diseases and related health problems, 10th revision, Australian modification. Sydney: NCCH, University of Sydney, 2004.
  • 2. NSW Department of Health. Postpartum haemorrhage (PPH) — framework for prevention, early recognition and management. Sydney: The Department, 2005. http://www5.health.nsw.gov.au/policies/PD/2005/PD2005_264.html (accessed Feb 2008).
  • 3. Cameron CA, Roberts CL, Olive EC, et al. Trends in postpartum haemorrhage. Aust N Z J Public Health 2006; 30: 151-156.
  • 4. Tracy SK, Sullivan E, Dahlen H, et al. Does size matter? A population-based study of birth in lower volume maternity hospitals for low risk women. BJOG 2006; 113: 86-96.
  • 5. Schuurmans N, MacKinnon C, Lane C, Etches D. Prevention and management of postpartum haemorrhage. SOGC Clinical Practice Guidelines. Vol. 88. Ottawa: Society of Obstetricians and Gynaecologists of Canada, 2000. http://www.sogc.org/guidelines/public/88E-CPG-April2000.pdf (accessed Feb 2008).

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