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Obstetric haemorrhage at Queen Charlotte's and Chelsea Hospital

^1. Queen Charlotte's and Chelsea Hospital, Du Cane Road, London, W12 OHS, UK Email: spaterson-brown{at}hhnt.nhs.uk

Key content:

• Obstetric haemorrhage complicates 10% of pregnancies globally.
  
• There is a 1% case mortality rate.
  
• It is the leading cause of maternal death worldwide, accounting for over a quarter of all direct deaths.
  
• In the United Kingdom, death from obstetric haemorrhage is 100 times less common than in developing countries, but this is rising. It is unclear whether more women are bleeding or whether standards of care are falling.
  

Learning objectives:

• To be aware of the risk factors for obstetric haemorrhage and why they are increasing.
  
• To learn about how detailed systematic audit of cases of massive obstetric haemorrhage, together with staff feedback, can improve and maintain standards of care.
  
• To learn how multidisciplinary training in the local workplace can help staff to manage this condition and promote teamwork.
  

Ethical issues:

• How anonymous, systematic audit of patient details can benefit future patients.
  

Please cite this article as: Paterson-Brown S. Obstetric haemorrhage at Queen Charlotte's and Chelsea Hospital. The Obstetrician & Gynaecologist 2007;9:116–120.

Keywords caesarean section / maternal mortality / multidisciplinary support / obstetric haemorrhage / oxytocin