Predictors of postpartum hemorrhage in vaginal deliveries
نویسندگان
چکیده
In this study we aimed to identify the risk factors for acute postpartum hemorrhage in pregnant women. We investigated a number of potential factors, including maternal age, gestational parity, birth weight, single or multiple pregnancies, episiotomy, tears requiring vaginal perineal suturing, and placental retention. Data from 1628 deliveries performed 2019 2020 were included. The age ranged between 18 41 years, with mean 26.6±3.2 years. average blood loss was 234.4±229.7 ml. Among traditionally delivered patients, 309 (18.9%) experienced standard while 27 (1.65%) had severe loss. Retained placenta major factor both (OR=4.31, 95% CI 1.85-10.04, p<0.001 vs OR=10.25, 2.13-49.2, p<0.01). Similarly pregnancy, macrosomia as well episiotomy associated any hemorrhage. Women previous history low weight neonates less likely experience (OR=0.69, 0.54-0.90, p=0.006 OR=0.54, 0.29-0.97, p=0.04). Risk variables macrosomia, retained placenta, necessity suture.
منابع مشابه
Association between fibrinogen levels and severity of postpartum hemorrhage in singleton vaginal deliveries at a Japanese perinatal center.
OBJECTIVE AND METHODS We examined the relationship between low fibrinogen levels (<200 mg/dL) and the severity of postpartum hemorrhage in singleton vaginal deliveries after 22 weeks' gestation complicated by postpartum hemorrhage requiring transfusion at our hospital. RESULTS During a 10-year period, 61 women (0.38%) received transfusions owing to postpartum hemorrhage within the first 24 ho...
متن کاملDiagnostic Value of Risk Nomogram for the Prediction of Postpartum Hemorrhage Following Vaginal Delivery
Background: Postpartum hemorrhage (PPH) is considered as one of the major causes of maternal mortality worldwide. The most effective risk factors have been suggested in various studies on risk nomogram for the prediction of PPH. Aim: This study aimed to determine the diagnostic value of the risk nomogram for the prediction of PPH. Method: Thi...
متن کاملRisk factors for postpartum hemorrhage after vaginal delivery of twins.
We examined vaginal deliveries of twins to identify factors most strongly associated with the increased risk of postpartum hemorrhage (estimated blood loss > or = 1,000 mL). We reviewed the obstetric records of all 171 twin vaginal deliveries at Japanese Red Cross Katsushika Maternity Hospital from January 2002 through August 2006. Of these deliveries, 41 (24%) were complicated by postopartum h...
متن کاملUterine massage to reduce postpartum hemorrhage after vaginal delivery.
OBJECTIVE To determine the effectiveness of sustained uterine massage started before delivery of the placenta in reducing postpartum hemorrhage. METHODS A randomized controlled trial conducted in Egypt and South Africa between September 2006 and February 2009. A total of 1964 pregnant women were randomly allocated to 1 of 3 treatment groups: intramuscular oxytocin, sustained uterine massage, ...
متن کاملMothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey.
BACKGROUND As cesarean rates increase worldwide, a debate has arisen over the relationship of method of delivery to maternal postpartum physical health. This study examines mothers' reports of their postpartum experiences with pain stratified by method of delivery. METHODS Listening to Mothers II was a survey of a total of 1,573 (200 telephone and 1,373 online) mothers aged 18 to 45 years, wh...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: International Journal of Health Sciences (IJHS)
سال: 2022
ISSN: ['2550-6978', '2550-696X']
DOI: https://doi.org/10.53730/ijhs.v6ns9.13340