Primary postpartum hemorrhage and maternal outcome
Joint Authors
Duyub, Nawal
Sunder, Amala
Nayak, Malathi
Khan, Khalidah
Ibrahim, Bushra
Source
Issue
Vol. 40, Issue 4 (31 Dec. 2018), pp.226-229, 4 p.
Publisher
King Hamad University Hospital
Publication Date
2018-12-31
Country of Publication
Bahrain
No. of Pages
4
Main Subjects
Abstract EN
Primary postpartum hemorrhage (PPH) is a significant cause of maternal morbidity and mortality.
The value of reviewing the care of women with severe PPH is to improve the obstetric practice.
Objective: To evaluate maternal outcome after postpartum hemorrhage.
Design: A Retrospective Data Analysis.
Setting: Bahrain Defence Force Hospital, Bahrain.
Method: Data analysis of PPH from 1 January 2015 to 31 December 2016 was performed.
Data were obtained from all patients who delivered during this period including born before arrival (BBA), home deliveries and stillborns.
All relevant maternal complications, including postpartum events, morbidities correlation of maternal outcomes with Hb drop, blood transfusion, length of hospital stay, ICU admission, coagulopathy, organ failure, hysterectomy and management were recorded.
The data were analyzed using StatDirect.
A P-value of less than 0.05 was considered statistically significant.
Result: During the study period, 8,449 women had given birth.
Seventy-two (0.85%) cases of PPH were identified.
A significant correlation between estimated blood loss (EBL) and the need for blood transfusion and length of hospital stay was discovered, P-value<0.0001 and P-value<0.0001, respectively.
However, no correlation was discovered between EBL and hemoglobin drop, P-value= 0.12.
Receiver Operating Characteristic (ROC) curve analysis of morbidities associated with PPH pointed to the bleeding cutoff point of 2L for morbidity to occur.
Conclusion: PPH is significantly related to maternal need for transfusion and hospital stay.
Morbidity occurs once EBL reach 2000 ml.
American Psychological Association (APA)
Sunder, Amala& Nayak, Malathi& Khan, Khalidah& Ibrahim, Bushra& Duyub, Nawal. 2018. Primary postpartum hemorrhage and maternal outcome. Bahrain Medical Bulletin،Vol. 40, no. 4, pp.226-229.
https://search.emarefa.net/detail/BIM-874378
Modern Language Association (MLA)
Duyub, Nawal…[et al.]. Primary postpartum hemorrhage and maternal outcome. Bahrain Medical Bulletin Vol. 40, no. 4 (Dec. 2018), pp.226-229.
https://search.emarefa.net/detail/BIM-874378
American Medical Association (AMA)
Sunder, Amala& Nayak, Malathi& Khan, Khalidah& Ibrahim, Bushra& Duyub, Nawal. Primary postpartum hemorrhage and maternal outcome. Bahrain Medical Bulletin. 2018. Vol. 40, no. 4, pp.226-229.
https://search.emarefa.net/detail/BIM-874378
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 229
Record ID
BIM-874378