{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:17:46Z","timestamp":1780499866816,"version":"3.54.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T00:00:00Z","timestamp":1564099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["(HDEC 13\/CEN\/96)"],"award-info":[{"award-number":["(HDEC 13\/CEN\/96)"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Haemorrhage in pregnancy may be life\u2010threatening to woman and infant. The impact of severe obstetric haemorrhage can be reduced by detecting high\u2010risk women, implementing guidelines and treatment plans, early detection of hypovolaemia and timely appropriate treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To describe cases of severe maternal morbidity caused by obstetric haemorrhage in New Zealand and investigate the potential preventability of these cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A multidisciplinary expert review panel was established to review cases of obstetric haemorrhage admitted to intensive care or high\u2010dependency units over an 18\u2010month span in New Zealand. Cases were critically analysed by a multidisciplinary team of clinicians to determine the potential preventability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and twenty cases were identified, most commonly due to postpartum haemorrhage with 36% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>43) deemed potentially preventable, mainly due to delay or failure of diagnosis (65%, 28\/43) and\/or failure or delay in treatment (91%, 39\/43). Twenty\u2010three per cent of cases (28\/120) resulted in peripartum hysterectomy of which one\u2010third were deemed potentially preventable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Prompt recognition and treatment in accordance with evidence\u2010based guidelines is imperative to decrease the burden of morbidity from obstetric haemorrhage. An emphasis on training clinicians to identify haemorrhage in a timely way may avoid unnecessary obstetric emergencies and can improve maternity and neonatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13040","type":"journal-article","created":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T07:03:30Z","timestamp":1564124610000},"page":"212-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Severe maternal morbidity due to obstetric haemorrhage: Potential preventability"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8366-0631","authenticated-orcid":false,"given":"Sam J.","family":"Lepine","sequence":"first","affiliation":[{"name":"Wellington Regional Hospital Wellington New Zealand"},{"name":"Department of Women's Health University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacie E.","family":"Geller","sequence":"additional","affiliation":[{"name":"Center for Research on Women and Gender Division of Academic Internal Medicine Department of Medicine College of Medicine University of Illinois Chicago Illinois USA"},{"name":"Centre for Women's Health Research Victoria University of Wellington Wellington New Zealand"},{"name":"Faculty of Health Te T\u0101tai Hauora O Hine Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Pledger","sequence":"additional","affiliation":[{"name":"Centre for Women's Health Research Victoria University of Wellington Wellington New Zealand"},{"name":"Faculty of Health Te T\u0101tai Hauora O Hine Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Lawton","sequence":"additional","affiliation":[{"name":"Centre for Women's Health Research Victoria University of Wellington Wellington New Zealand"},{"name":"Faculty of Health Te T\u0101tai Hauora O Hine Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9307-2323","authenticated-orcid":false,"given":"Evelyn Jane","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Centre for Women's Health Research Victoria University of Wellington Wellington New Zealand"},{"name":"Faculty of Health Te T\u0101tai Hauora O Hine Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,26]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"NorwitzE Shin ParkJ.Overview of the Etiology and Evaluation of Vaginal Bleeding in Pregnant Women. 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