On the classification of postpartum haemorrhages: an invitation to a discussion

Abstract

On the classification of postpartum haemorrhages: an invitation to a discussion Dobrokhotova Yu.E., Kozlov P.V., Seliverstova O.M. Pirogov Russian National Research Medical University, Moscow Postpartum haemorrhages remain the leading cause of maternal morbidity and mortality in the world. The article provides information on the classification of postpartum haemorrhages (PPH), adopted by international professional communities and  in the Russian Federation. Most professional societies, including the International Federation of Obstetricians and Gynecologists, recommend the classification of postpartum haemorrhages for early (primary) bleeding, which develop within the first 24 hours after delivery, and late (secondary) bleeding, which develop from 24 hours to 6 weeks after delivery. In the US, the time interval for late postpartum hemorrhage is increased up to 12 weeks. A discussion is proposed on the advisability of clarifying the classification of postpartum haemorrhages, from the point of view of etiology and approved algorithms of obstetric management of PPH. The need to increase the time interval in the classification of early postpartum hemorrhage to 24 hours and for late postpartum hemorrhages from 24 hours to 6 weeks is considered. Expansion of the interval and diagnosis of early postpartum haemorrhages will help to bring into compliance the domestic classification and the etiology of haemorrhages, obstetric tactics of management and accepted international standards. Key words: postpartum haemorrhage, birth complications, early postpartum haemorrhage, late postpartum haemorrhage, classification. For citation: Dobrokhotova Yu.E., Kozlov P.V., Seliverstova O.M. On the classification of postpartum haemorrhages:  an invitation to a discussion // RMJ. 2018. № 5(I). P. 61–63.