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Table 2 Transfusion volumes and hemostatic procedures for patients with severe PPH

From: Impact of efforts to prevent maternal deaths due to obstetric hemorrhage on trends in epidemiology and management of severe postpartum hemorrhage in Japan: a nationwide retrospective study

 

2012

2013

2014

2015

2016

2017

2018

Patients with severe PPH, n

3668

4021

4182

4513

4767

5061

5049

The transfusion volume, unit

 Red blood cells, mean ± SDa

8.0 ± 7.7

8.2 ± 7.5

8.1 ± 8.1

8.3 ± 7.9

7.8 ± 6.9

7.5 ± 6.8

7.2 ± 6.3

Red blood cells, n (% of patients with severe PPH)

 0

176 (4.8)

195 (4.8)

230 (5.5)

269 (6.0)

279 (5.9)

282 (5.6)

315 (6.2)

 1–9

2609 (71.1)

2757 (68.6)

2942 (70.3)

3060 (67.8)

3317 (69.6)

3646 (72.0)

3699 (73.3)

 ≥ 10

883 (24.1)

1069 (26.6)

1010 (24.2)

1184 (26.2)

1171 (24.6)

1133 (22.4)

1035 (20.5)

 Fresh frozen plasma, mean ± SDb

9.5 ± 10.1

9.7 ± 10.0

9.9 ± 10.9

10.3 ± 10.7

9.6 ± 9.9

9.3 ± 9.7

8.7 ± 8.6

Fresh frozen plasma, n (% of patients with severe PPH)

 0

1358 (37.0)

1352 (33.6)

1257 (30.1)

1294 (28.7)

1343 (28.2)

1453 (28.7)

1491 (29.5)

 1–9

1566 (42.7)

1733 (43.1)

1904 (45.5)

2044 (45.3)

2285 (47.9)

2427 (48.0)

2506 (49.6)

 ≥ 10

744 (20.3)

936 (23.3)

1021 (24.4)

1175 (26.0)

1139 (23.9)

1181 (23.3)

1052 (20.8)

 Platelet, mean ± SDc

22.5 ± 16.7

21.9 ± 15.4

22.6 ± 17.7

22.5 ± 16.1

21.6 ± 16.8

22.0 ± 16.2

21.6 ± 16.5

Platelet, n (% of patients with severe PPH)

 0

3150 (85.9)

3452 (85.8)

3620 (86.6)

3870 (85.8)

4173 (87.5)

4473 (88.4)

4493 (89.0)

 1–10

171 (4.7)

193 (4.8)

180 (4.3)

208 (4.6)

193 (4.0)

212 (4.2)

185 (3.7)

 > 10

347 (9.5)

376 (9.4)

382 (9.1)

435 (9.6)

401 (8.4)

376 (7.4)

371 (7.3)

Hemostatic procedures, n (% of patients with severe PPH)

 Intrauterine balloon tamponaded

 

98 (2.4)

331 (7.9)

604 (13.4)

717 (15.0)

875 (17.3)

1025 (20.3)

 Arterial embolization

174 (4.7)

255 (6.3)

300 (7.2)

319 (7.1)

324 (6.8)

294 (5.8)

291 (5.8)

 Hysterectomy

320 (8.7)

347 (8.6)

291 (7.0)

331 (7.3)

323 (6.8)

311 (6.1)

313 (6.2)

  1. PPH Postpartum hemorrhage, SD Standard deviation
  2. aMean amount of transfused red blood cells in patients that performed transfusion
  3. bMean amount of transfused fresh frozen plasma in patients that performed transfusion
  4. cMean amount of transfused platelet in patients that performed transfusion
  5. dIntrauterine balloon tamponade for abdominal hemorrhage were covered by insurance and thus counted since 2013
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