Which type of delivery is associated with a higher risk of postpartum hemorrhage?

The type of delivery that has a higher risk of postpartum hemorrhage is assisted vaginal delivery. This is because assisted vaginal deliveries often involve the use of instruments such as forceps or vacuum extractors, which can lead to increased trauma to the perineum and surrounding tissues. Such trauma can contribute to a higher incidence of lacerations and uterine atony, both of which are significant risk factors for postpartum hemorrhage.

In contrast, while vaginal delivery can have some risk of postpartum hemorrhage, the straightforward vaginal births not involving assistance typically carry a lower risk than those requiring interventions. C-section deliveries, although they have their own set of risks, generally result in a more controlled environment which can mitigate some causes of hemorrhage. Home deliveries can pose other risks, but they are not specifically associated with increased postpartum hemorrhage in the same manner as assisted vaginal deliveries.

Therefore, understanding the complications associated with various delivery methods is crucial for assessing risks, and assisted vaginal delivery is notably linked to a higher likelihood of experiencing postpartum hemorrhage due to tissue trauma and potential complications following the use of instruments.