Tóm tắt
Background: Postpartum hemorrhage (PPH) continues to be a significant global burden leading to high maternal mortality and morbidity rates. Uterine atony is the most prevalent cause of postpartum hemorrhage, accounting for 75% to 90% of cases.
Aim: Research uterine atony related PPH at Hospital of Hue University of Medicine and Pharmacy’s Department of Obstetrics and Gynecology.
Materials and methods: In this study, we conducted a retrospective case-control study to determine the risk factors for PPH among a cohort of women who gave birth between August 2020 and June 2021 at the Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital. PPH was defined as an estimated blood loss ≥500 mL. Logistic regression analysis was used to identify independent risk factors for PPH.
Results: After the vaginal deliveries, we collected data from 147 patients, including 49 women with PPH caused by uterine atony and 98 without PPH. Maternal characteristics significantly associated with PPH included: pre-delivery anemia (adjusted OR [aOR] 4.0, 95% Confidence interval [CI]: 1.7 - 11.2), macrosomia (aOR = 4.3; 95%CI 1.1 - 16.8) and grand parity (aOR = 4.7; 95%CI: 1.7 - 13.9).
Conclusions: All pregnant women should have their risks associated with postpartum hemorrhage evaluated and monitored during their pregnancies’ prenatal, labor, and postpartum stages.
Tài liệu tham khảo
The Ministry of Health. National guidelines for reproductive health services. In: Health TMo, editor. Medical Publishing House2016. p. 75-6, 170-1.
Vogel JP, Williams M, Gallos I, Althabe F, Oladapo OT. WHO recommendations on uterotonics for postpartum haemorrhage prevention: what works, and which one? BMJ Glob Health. 2019;4(2):e001466.
AbouZahr C. Global burden of maternal death and disability. Br Med Bull. 2003;67:1-11.
Mousa HA, Blum J, Abou El Senoun G, Shakur H, Alfirevic Z. Treatment for primary postpartum haemorrhage. Cochrane Database Syst Rev. 2014;2014(2):CD003249.
Practice Bulletin No. 183 Summary: Postpartum Hemorrhage. Obstet Gynecol. 2017;130(4):923-5.
Nkwabong E, Mouafo CK, TN. N. Risk factors for uterine atony in two semi-urban hospitals. Int J Pregn& Chi Birth 2020;6(2):45-9.
Prevention and Management of Postpartum Haemorrhage: Green-top Guideline No. 52. BJOG. 2017;124(5):e106-e49.
Sabaratnam Arulkumaran, Mahantesh Karoshi, L. G. Keith ABL, B-Lynch C. A Comprehensive Textbook of POSTPARTUM HEMORRHAGE - An Essential Clinical Reference for Effective Management. Sapiens Publishing2012.
Oberg AS, Hernandez-Diaz S, Palmsten K, Almqvist C, Bateman BT. Patterns of recurrence of postpartum hemorrhage in a large population-based cohort. Am J Obstet Gynecol. 2014;210(3):229 e1-8.
Nyflot LT, Sandven I, Stray-Pedersen B, Pettersen S, Al-Zirqi I, Rosenberg M, et al. Risk factors for severe postpartum hemorrhage: a case-control study. BMC Pregnancy Childbirth. 2017;17(1):17.
Tran Dinh Vinh. Postpartum haemorrhage at the Department of Obstetrics and Gynecology, Da Nang Hospital 2005-2010. VJOG. 2010;2(8):67-71.
Wetta LA, Szychowski JM, Seals S, Mancuso MS, Biggio JR, Tita AT. Risk factors for uterine atony/postpartum hemorrhage requiring treatment after vaginal delivery. Am J Obstet Gynecol. 2013;209(1):51 e1-6.
Ende HB, Lozada MJ, Chestnut DH, Osmundson SS, Walden RL, Shotwell MS, et al. Risk Factors for Atonic Postpartum Hemorrhage: A Systematic Review and Meta-analysis. Obstet Gynecol. 2021;137(2):305-23.
Neary C, Naheed S, McLernon DJ, Black M. Predicting risk of postpartum haemorrhage: a systematic review. BJOG. 2021;128(1):46-53.
Rani PR, Begum J. Recent Advances in the Management of Major Postpartum Haemorrhage - A Review. J Clin Diagn Res. 2017;11(2):QE01-QE5.
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Cùng tác giả
- Nguyễn Thị Kim Anh, Trương Quang Vinh, Nguyễn Thị Lê Na, Nguyễn Thị Châu Anh, Nghiên cứu tình hình viêm nhiễm đường sinh dục dưới và một số đặc điểm liên quan ở phụ nữ mang thai ba tháng cuối , Tạp chí Phụ sản: Tập 18 Số 2 (2020): Tập 18, Số 2, 2020