Secondary Postpartum Hemorrhage

Summary

Postpartum hemorrhage (PPH) remains one of the leading causes of maternal mortality and morbidity worldwide, including in France, where it accounts for approximately 20% of maternal mortality. Although numerous studies have examined immediate PPH, very few have explored secondary (also called late) PPH. Moreover, there are no guidelines in France for the management of secondary PPH. Its frequency appears to vary from 0.2% to 3.0% of deliveries. It is, however, difficult to estimate because only severe secondary PPH will lead to hospitalization and the rare publications concern single-center studies. The cause of these secondary hemorrhages is often unknown, due to the lack of routine uterine aspiration. Nonetheless, this aspiration is not always medically justified. The principal objective of this study is thus to establish the incidence of severe late PPH in the general population.

Conditions

• Postpartum Hemorrhage
• Maternal Morbidity
• Retained Placenta
• Postpartum Endometritis
• Delivery

Interventions

OTHER

Data collection

he different modes of active data collection: * Data collection by telephone * Data collection by mail * Collection from discharge database summaries (PMSI)

Sponsors & Collaborators

• CRRF La Châtaigneraie

  collaborator OTHER

• CH de Moulins

  collaborator UNKNOWN

• CH de Montluçon

  collaborator UNKNOWN

• Jacques Lacarin Hospital Center

  collaborator OTHER

• CH de Thiers

  collaborator UNKNOWN

• CH d'Issoire

  collaborator UNKNOWN

• CH d'Aurillac

  collaborator UNKNOWN

• CH du Puy-en-Velay

  collaborator UNKNOWN

• CH de Saint-Flour

  collaborator UNKNOWN

• AUDIPOG

  collaborator UNKNOWN

• Université d'Auvergne

  collaborator OTHER

• University Hospital, Clermont-Ferrand

  lead OTHER

Principal Investigators

• Françoise VENDITELLI · University Hospital, Clermont-Ferrand

Eligibility

Min Age

12 Years

Max Age

55 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-03-01

Primary Completion

2021-12-31

Completion

2022-06-30

Countries

• France

Study Locations