To the Editor: The Rural Doctors Association (RDA) of New South Wales, of which I am President, has been involved in desperately trying to keep maternity units close to people’s homes. The conclusion formed by Ford and colleagues in their recent report,1 that women with a previous postpartum haemorrhage should only deliver in units with a blood transfusion service, appears extraordinary and contradictory to their own findings.
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- 1 Rural Doctors Association (NSW), Bangalow, NSW.
- 2 Moree, NSW.
- 1. Ford JB, Robers CL, Bell JC, et al. Postpartum haemorrhage occurrence and recurrence: a population-based study. Med J Aust 2007; 187: 391-393. <MJA full text>
- 2. Tracy SK, Sullivan E, Dahlen H, et al. Does size matter? A population-based study of birth in lower volume maternity hospitals for low risk women. BJOG 2006; 113: 86-96.