Prognosis

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Multidisciplinaire richtlijn Postpartumzorg in de eerste lijn (deel 1)Published by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2022Guideline multidisciplinaire des soins postnatals dans la première ligne de soins (partie 1)Published by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2022Multidisciplinaire richtlijn Postpartumzorg in de eerste lijn (deel 2)Published by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2024Guideline multidisciplinaire des soins postnatals dans la première ligne de soins (partie 2)Published by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2024

The prognosis of PPH depends on several factors including the underlying cause, the timeliness of diagnosis and intervention, the severity of the bleeding, and the overall health of the mother. With prompt and effective management, the prognosis is generally good, and most women recover fully without long-term complications.

However, in severe cases or when there are delays in diagnosis and treatment, PPH can lead to significant morbidity and, in extreme cases, can be fatal. According to the World Health Organization, of the 14 million women worldwide who experience PPH each year, 70,000 die from the condition.[11] In the UK and Ireland, the Confidential Enquiry into Maternal Deaths and Morbidity reported that 17 women died from obstetric haemorrhage during or up to 6 weeks after the end of pregnancy in the period 2019-2021, giving an overall mortality rate of 0.80 per 100,000 maternities (95% CI 0.48 to 1.27).[13] In the US, mortality from PPH has decreased since the late 1980s and accounted for just over 10% of maternal deaths in 2009 (approximately 1.7 deaths per 100,000 live births).[3]

Women with a history of PPH in a prior delivery are at an increased risk for recurrent PPH in a subsequent delivery. Patients with a history of PPH in a prior pregnancy had a 3-fold increased risk of recurrent PPH in a subsequent pregnancy, compared with women with no prior history of PPH. This risk increased with increasing numbers of previously affected pregnancies.[37]

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