الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 127 |  |  |
| | | from | 127 | | |
Abstract
All over the world, postpartum hemorrhage is considered the leading cause of maternal morbidity and mortality with a prevalence rate of 6% to 10%. Mortality from PPH in developing countries has remained high despite the international efforts to decrease maternal mortality since the launch of the Safe Motherhood Initiative in 1987. Although the available data are quite limited, studies have shown PPH to account for 25% of maternal deaths in Egypt.
The most dangerous cause of PPH is uterine atony which is observed alone in 50% to 60% of cases. Active management compared to expectant management of the third stage of labour lowers maternal blood loss and reduces the risk of PPH by about 60%. Several randomized trials provide evidence that the administration of oxytocin alone or in combination with ergometrine reduces the incidence of PPH by around 40%.