Skip to main content
Article
A Comparison of Excessive Postpartum Blood Loss Estimates Among Three Subgroups of Women Attending Births in Matlab, Bangladesh
Journal of Midwifery & Women's Health (2010)
  • Joyce K Edmonds, Emory University
  • Daniel Hruschka, University of Arizona
  • Lynn Sibley, Emory University
Abstract

OBJECTIVE:

Postpartum hemorrhage (PPH) is the leading cause of maternal death and disability worldwide. Recognition depends on subjective visual quantification. This study sought to assess and compare the thresholds for excessive postpartum blood loss reported by skilled birth attendants (SBA), traditional birth attendants (TBA), and laywomen in Matlab, Bangladesh.

METHOD:

Data from six questions asking about excessive blood loss in the postpartum period were analyzed using analysis of variance (ANOVA), Hochberg test, Kruskal-Wallis and standard descriptive statistics.

RESULTS:

Thresholds for excessive blood loss estimated by laywomen and TBAs exceed biomedical standards for PPH. Skilled birth attendant reports are consistent with the definition of severe acute PPH.

CONCLUSION:

Further research on locally validated blood collection devices, in birth kits, for diagnostic aid or referral indication is needed. Areas where coverage and uptake of skilled birth attendance are low should be targeted due to the number of home births attended by TBAs and laywomen in such settings.

Keywords
  • Bangladesh,
  • Blood Loss,
  • Maternal Mortality,
  • Postpartum Hemorrhage,
  • Childbirth
Publication Date
July, 2010
Publisher Statement

Author manuscript, posted to PubMed. Published in final edited form as: J Midwifery Womens Health. 2010 July; 55(4): 378–382. doi: 10.1016/j.jmwh.2009.08.003

Citation Information
Joyce K Edmonds, Daniel Hruschka and Lynn Sibley. "A Comparison of Excessive Postpartum Blood Loss Estimates Among Three Subgroups of Women Attending Births in Matlab, Bangladesh" Journal of Midwifery & Women's Health Vol. 55 Iss. 4 (2010)
Available at: http://works.bepress.com/joyce_edmonds/2/