Interventions For Postpartum On Developing Countries

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Interventions for postpartum haemorrhage in developing countries. Background: Postpartum Haemorrhage (PPH) is defined as a blood loss of 500 ml or more within 24 hours after birth [1], regardless of method of delivery (cesarean section or vaginal). When the blood loss is more than 1000ml, patients will be considered as severe PPH [2]. With the development of economy, some developing countries made an impressive progress in reducing the maternal and child mortality. However, PPH is still the leading cause of maternal mortality in low and middle-income countries with a prevalence rate of 5% to 10.5% of all deliveries worldwide[3]. PPH causes more than 30% of all maternal deaths in Africa and Asia [4], where have the highest maternal mortality. Also, PPH could causes long-term severe morbidity, such as severe anemia. Four main reasons could cause severe bleeding during and after the third stage of delivery: uterine atony (the leading cause of immediate PPH, 75-90%) [5], inverted or ruptured uterus; uterine, vaginal or perineal trauma; causes of placental tissue (retain in or adhere to uterine cavity); coagulopathy. All women should be considered at risk, because two-thirds of women who have PPH have no risk factors so that increases the difficulty of prediction[6]. Therefore, the prevention of postpartum haemorrhage must be taken into every birth. Meanwhile, in order to reach the target of Sustainable Development Goal 3 – reduce the global maternal mortality ratio to less
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