Primary postpartum haemorrhage

Identifying and definitional attributes
Metadata item type:	Glossary Item
METEOR identifier:	524114
Registration status:	Health, Standard 07/03/2014 Tasmanian Health, Standard 20/12/2016
Definition:	Primary postpartum haemorrhage, a form of obstetric haemorrhage, is excessive bleeding from the genital tract after childbirth, occurring within 24 hours of birth. A blood loss of 500 ml is the usual minimum amount for identification of postpartum haemorrhage however a woman’s haemodynamic instability is also taken into account, meaning that a smaller blood loss may be significant in a severely compromised woman. A loss of 1,000 ml or more is considered major or severe although definitions of severity vary. Secondary postpartum haemorrhage is excessive bleeding from the genital tract after childbirth occurring between 24 hours and 6 weeks postpartum.

Source and reference attributes
Reference documents:	Medforth J, Battersby S & Evans M 2011. Oxford Handbook of Midwifery. Oxford: Oxford University Press. Queensland Maternity and Neonatal Clinical Guidelines Program 2009. Queensland maternity and neonatal clinical guideline: primary postpartum haemorrhage. Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) 2011. Management of postpartum haemorrhage (PPH): College statement C-Obs 43 Royal College of Obstetricians and Gynaecologists (RCOG) 2009. Prevention and management of postpartum haemorrhage: Green-top guideline no. 52.
Relational attributes
Metadata items which use this glossary item:	Female—blood transfusion due to primary postpartum haemorrhage indicator Health, Superseded 17/12/2021 Female—blood transfusion due to primary postpartum haemorrhage indicator, yes/no/not stated/inadequately described code N Health, Superseded 17/12/2021 Female—blood transfusion due to primary postpartum haemorrhage indicator, yes/no/not stated/inadequately described code N Health, Superseded 02/08/2017 Female—blood transfusion due to primary postpartum haemorrhage indicator, yes/no/not stated/inadequately described code N Health, Superseded 03/12/2020 Female—estimated blood loss indicating primary postpartum haemorrhage Health, Standard 07/03/2014 Female—estimated blood loss indicating primary postpartum haemorrhage, estimated blood loss volume category code N Health, Superseded 03/12/2020 Female—estimated blood loss indicating primary postpartum haemorrhage, estimated blood loss volume category code N Health, Standard 03/12/2020 Female—estimated blood loss indicating primary postpartum haemorrhage, estimated blood loss volume category, code N Health, Superseded 05/10/2016 Female—primary postpartum haemorrhage indicator Health, Standard 07/03/2014 Female—primary postpartum haemorrhage indicator, yes/no/not stated/inadequately described code N Health, Standard 02/08/2017 Female—primary postpartum haemorrhage indicator, yes/no/not stated/inadequately described code N Health, Superseded 02/08/2017 Perinatal DSS 2014-15 Health, Superseded 13/11/2014 Perinatal DSS 2015-16 Health, Superseded 04/09/2015 Perinatal NBEDS 2016-17 Health, Superseded 05/10/2016 Perinatal NBEDS 2017-18 Health, Superseded 02/08/2017 Perinatal NBEDS 2018-19 Health, Superseded 12/12/2018 Perinatal NBEDS 2019–20 Health, Superseded 20/11/2019 Perinatal NBEDS 2020–21 Health, Superseded 03/12/2020 Perinatal NBEDS 2021–22 Health, Superseded 17/12/2021 Perinatal NBEDS 2022–23 Health, Standard 17/12/2021 Perinatal NBEDS 2023–24 Health, Recorded 26/07/2022 Primary postpartum haemorrhage indicator Health, Standard 07/03/2014