What are the predisposing factors and potential etiologies of postpartum hemorrhage (PPH)?

Updated: Jan 02, 2018
  • Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Predisposing factors and potential etiology:

  • History of PPH

  • Gravity, parity, length of most recent pregnancy, history of multiple gestations

  • Number of fetuses for the most recent pregnancy

  • Pregnancy complications

  • Spontaneous versus manual delivery of the placenta

  • Vaginal delivery versus cesarean delivery, current and past

  • Cesarean delivery – Planned in advance, decided on after a failed vaginal delivery attempt, or performed on an emergency basis

  • Other uterine surgeries

  • Personal or family history of bleeding disorder

  • Medications

  • Vaginal penetration since delivery

  • Signs or symptoms of infection

  • Other information helpful for continued management

  • Time and location of delivery, and any assistant(s) involved

  • Location and provider of prenatal care

  • Health of infant at delivery and any complications or concerns before, during, or after delivery

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