Table 1.
Patient and birth characteristics among women with severe PPH for overall births and stratified by mode of birth in France and the Netherlands (2011–2013).
| France | The Netherlands | ||||||
|---|---|---|---|---|---|---|---|
| Population based denominator | 182,309 | 207,101 | |||||
| Number of women with sPPH1 | 484 | 1344 | |||||
| Incidence sPPH per 1000 births | 2.7(2.4–2.9) | 5.0 (4.7–5.2) |
| Overall births |
Vaginal births |
Cesarean births |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| France |
The Netherlands |
France |
The Netherlands |
France |
The Netherlands |
|||||||||
| N = 214 |
N = 1002 |
P-value |
N = 270 |
N = 342 |
P-value |
|||||||||
| N = 484 | N = 1344 | n | (%) | n | (%) | n | (%) | n | (%) | |||||
| Patient characteristics | ||||||||||||||
| Age (Mean (std))2 | 30.7 | (5.1) | 31.2 | (4.9) | 0.15 | 32.9 |
(5.5) | 33 | (5.1) | 0,7 | ||||
| Parity | 0.07 | 0,06 | ||||||||||||
| nulliparity | 210 | (43.4) | 532 | (39.6) | 97 | (45.5) | 428 | (42.7) | 112 | (42.4) | 104 | (30,4) | ||
| multiparous, no previous cesarean | 177 | (36.6) | 621 | (42.2) | 95 | (44.6) | 493 | (49.2) | 82 | (53.2) | 128 | (53.4) | ||
| multiparous with previous cesarean | 93 | (19.2) | 191 | (14.2) | 21 | (9.9) | 81 | (8.11) | 72 | (46.8) | 110 | (46.2) | ||
| History of PPH | 27 | (10.0) | 185 | (22.7) | 15 | (12.9) | 144 | (25.1) | < 0,001 | 12 | (7.8) | 41 | (17.2) | < 0,001 |
| Multiple pregnancy | 58 | (12.0) | 84 | (6.3) | 14 | (6.5) | 46 | (4.6) | 0.26 | 44 | (16.3) | 38 | (11.1) | 0,06 |
| Hypertensive disorder | 36 | (7.4) | 135 | (10.0) | 9 | (4.2) | 96 | (9.6) | 0,01 | 27 | (10.0) | 39 | (11.4) | 0,58 |
| Macrosomia | 75 | (15.5) | 280 | (20.8) | 35 | (16.4) | 213 | (21.3) | 0,11 | 38 | (14.1) | 67 | (19.6) | 0,07 |
| Characteristics of birth | ||||||||||||||
| Weeks gestational age (IQR3) | 39 | (37–41) | 39 | (38–71) | 39 | (38–41) | 39 | 0,43 | 37 | (36–68) | 37 | (35–39) | 0,36 | |
| Induction of labor | 119 | (32.3) | 474 | (39.6) | 68 | (31.8) | 398 | (39.7) | 0,06 | 51 | (18.9) | 76 | (38.9) | 0,33 |
| Mode of birth Spontaneous vaginal birth Assisted birth Elective cesarean Emergency cesarean |
152 62 118 152 |
(31.4) (12.8) (24.4) (31.4) |
790 212 147 195 |
(58.8) (15.8) (11.0) (14.5) |
152 62 - - |
(71.0) (28.9) |
790 212 - - |
(78.8) (21.2) |
< 0.001 |
- - 118 152 |
(43.7) (56.2) |
- - 147 195 |
(43.0) (57.0) |
0.15 |
| Prophylactic uterotonics4 | 432 | (89.3) | 1204 | (89.6) | 198 | (92.5) | 908 | (90.6) | 0.38 | 234 | 86.6 | 296 | 86.6 | 0.97 |
1 = severe postpartum hemorrhage 2 = standard deviation 3 = inter quartile range 4 = Oxyotocin 5 or 10 IU intramuscular or slow intravenous in both countries