TAILIEUCHUNG - POSTPARTUM HEMORRHAGE

The publication of this textbook marks a great milestone in our joint efforts at achieving the Millennium Development Goal 5, which aims to reduce maternal mortality by three-quarters, a daunting task indeed for most developing countries. The African region, especially Eastern and Western Africa, has the highest ratio of women dying as a result of pregnancy or childbirth in the world, estimated at an average of 1000 per 100 000 live births. Half of all the maternal deaths world-wide occur in the African Region, a region that accounts for only 12% of the world’s population and about 20% of births. A lifetime risk of 1 in 3000,. | A Textbook of POSTPARTUM HEMORRHAGE A comprehensive guide to evaluation management and surgical intervention This copy is presented free of charge by courtesy of a generous grant from the Society of Obstetricians and Gynecologists of Canada Société des obstétriciens et gynécologues du Canada SOGC as part of their ongoing commitment to international women s health and medical education HRH The Princess Royal BUCKINGHAM PALACE It is a pleasure to assist in the promotion of improvement in maternal and child health both in the developed and the developing world. One of the tragedies of modem life is that 90 of maternal deaths are due to delays in decision making transfer and treatment of critically ill patients who have bled after childbirth. Many of the mothers who die because of these delays die unnecessarily and the tragedy results in the loss of a mother to her whole family. This textbook is unique because it is the first effort to bring together information on how to treat significant bleeding after childbirth and I am confident that this British initiative will make an important contribution to the better understanding of how to save these women s lives. I hope that heathcare communities worldwide will use this material to save lives and encourage appropriate authorities to provide essential services which will improve the health of both women and their .

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