Table 1 Temporal trends in postpartum hemorrhage (PPH), PPH subtypes, severe PPH and severe atonic PPH in British Columbia, 2000-2009

PPH (rates per 100 deliveries):

All PPH

28221

6.3

6.3

8.2

8.0

1.27

1.21 - 1.34

<0.001

Due to retained placenta

4859

1.3

1.2

1.3

1.3

1.02

0.90 - 1.15

0.81

Atonic

22100

4.8

4.8

6.6

6.3

1.33

1.26 - 1.41

<0.001

Secondary

1276

0.25

0.34

0.29

0.35

1.40

1.09 - 1.81

0.27

Due to coagulation defects

178

0.05

0.05

0.05

0.03

0.51

0.25 - 1.05

0.14

Severe PPH (rates per 10,000 deliveries):

PPH + blood transfusion

1468

29.1

30.3

45.1

42.5

1.46

1.16 - 1.84

<0.001

PPH + hysterectomy

215

-

4.8

7.1

4.7

0.99

0.53 - 1.84

0.76

PPH + suturing of uterus

65

-

0

3.4

3.2

-

-

<0.001

PPH + bimanual compression and massage

2255

-

27.7

98.1

95.6

3.45

2.79 - 4.25

<0.001

PPH + uterine (and vaginal) packing

223

-

4.0

6.4

8.1

2.02

1.12 - 3.63

0.02

PPH + ligation of pelvic vessels

81

-

1.3

3.9

4.5

3.58

1.34 - 9.55

<0.001

PPH + embolization of pelvic vessels

60

-

0.50

2.5

1.4

2.69

0.54 - 13.32

0.01

PPH + Suture, ligation, or embolization

186

-

1.8

9.1

7.0

3.97

1.75 - 9.01

<0.001

Severe atonic PPH (rates per 10,000 deliveries)

Atonic PPH + blood transfusion

876

17.8

16.6

28.2

25.5

1.43

1.07 - 1.93

<0.001

Atonic PPH + hysterectomy

108

-

2.5

3.6

1.8

0.72

0.28 - 1.81

0.37

Atonic PPH + suturing of uterus

55

-

0

2.7

2.9

-

-

<0.001

Atonic PPH + bimanual compression and massage

1964

-

23.5

85.3

81.8

3.49

2.78 - 4.38

<0.001

Atonic PPH + uterine (and vaginal) packing

174

-

3.0

5.9

5.9

1.93

0.97 - 3.82

0.02

Atonic PPH + ligation of pelvic vessels

68

-

1.3

3.9

3.6

2.87

1.05 - 7.83

<0.001

Atonic PPH + embolization of pelvic vessels

43

-

0.50

2.0

1.1

2.24

0.43 - 11.55

0.01

Atonic PPH + Suture, ligation, or embolization

150

-

1.8

8.0

5.6

3.20

1.38 - 7.40

<0.001