Obstetric Anesthesia

Complications in Obstetrics and Obstetric Anesthesia

Maternal Obesity and Risk of Postpartum Hemorrhage

Blomberg M (Linköping Univ, Sweden) Obstet Gynecol 118:561-568, 2011^§

Abstract

Objective

To estimate whether maternal obesity was associated with an increased risk for postpartum hemorrhage more than 1,000 mL and whether there was an association between maternal obesity and causes of postpartum hemorrhage and mode of delivery.

Methods

A population-based cohort study including 1,114,071 women with singleton pregnancies who gave birth in Sweden from January 1, 1997 through December 31, 2008, who were divided into six body mass index (BMI) classes. Obese women (class I–III) were compared with normal-weight women concerning the risk for postpartum hemorrhage after suitable adjustments. The use of heparin-like drugs over the BMI strata was analyzed in a subgroup.

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