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Erratum to: P47 A review of Massive Obstetric Haemorrhage (MOH) in the East of Ireland and its association with Maternal Obesity

The Original Article was published on 09 May 2017


After publication of the below abstract in supplement [1], it was brought to our attention that in abstract P47, two authors have middle initials they would like included. The third and fifth authors are published as Elizabeth Tully and Fergal Malone, but should have been Elizabeth C. Tully and Fergal D. Malone.

P47 A review of Massive Obstetric Haemorrhage (MOH) in the East of Ireland and its association with Maternal Obesity

Sarah Alnafisee1, Cathy Monteith1, Elizabeth Tully1, Colin Kirkham2, Fergal Malone1

1Department of Obstetrics & Gynaecology, The Rotunda Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland; 2Department of Research, The Rotunda Hospital, Dublin, Ireland

Correspondence: Sarah Alnafisee

Introduction: Massive obstetric haemorrhage (MOH), blood loss of >2000 ml, is a life-threatening emergency in the postpartum. The aim of this review is to address the incidence of maternal obesity, a modifiable risk factor contributing to MOH.

Methods: This 6-year retrospective review involved the interrogation of the annual clinical reports of the tertiary maternal centres in the East of Ireland between the years 2009-2014. We assessed patient risk factors for developing MOH in the antenatal period with a focus on maternal obesity (Body Mass Index (BMI) ≥30 Kg/m2). Associations between categorical variables were tested using Pearson’s chi-square test.

Results: The incidence of MOH was 2.21/1,000 livebirths during the 6-year period. Of those women 20.5% of cases had BMIs recorded and 34.72% of those with recorded BMI were obese. Within the obese cohort, patients suffered an average blood loss of 2820 ml in the first 24 hours postpartum, with 88% requiring a blood transfusion. There was a significant association between maternal obesity and developing MOH: (X2 (1) = 32.63, p-value < 0.001).

Discussion: Maternal obesity is a preventable risk factor that contributes to MOH. As detailed in the most recent report by the World Health Organization (WHO) presented at the 2015 European Congress on Obesity, there’s a predicted rise in obesity for women in Ireland from 23% to 57% by the year 2030. Pre-conception modification strategies for maternal obesity could potentially decrease the incidence of MOH and improve obstetric outcomes.


  1. Halpern E and Mikhail A: Abstracts from the 6th International Conference for Healthcare and Medical Students (ICHAMS). BMC Proceedings. 2017; 11(Suppl 1) [10.1186/s12919-017-0071-z].

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The online version of the original article can be found under doi:10.1186/s12919-017-0071-z.

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Alnafisee, S., Monteith, C., Tully, E.C. et al. Erratum to: P47 A review of Massive Obstetric Haemorrhage (MOH) in the East of Ireland and its association with Maternal Obesity. BMC Proc 11, 7 (2017).

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