Analysis reveals how the reasons for cesarean delivery affect blood loss, suggesting the need for improved assessments.
( Am J Obstet Gynecol . 2025;232:478.e1-7. DOI: 10.1016/j.ajog.2024.09.116.) Cesarean deliveries (CDs) account for about one-third of all deliveries in the United States. Postpartum hemorrhage (PPH) is the main cause of maternal mortality globally, and preventable negative outcomes from PPH are usually somewhat related to inappropriate volume and blood component resuscitation. Assessing quantitative blood loss (QBL) during CD using gravimetric, colorimetric, or volumetric methods is more accurate than a general visual estimation (EBL), and as such has been recommended by the American College of Obstetricians and Gynecologists (ACOG). However, current systemic research on the impact of indications for CD on QBL is wholly inadequate.
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Mitts et al. (2026) studied this question.
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