Postpartum hemorrhage: Moving from response to prevention for Alaska Native mothers.
Postpartum hemorrhage: Moving from response to prevention for Alaska Native mothers.
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DOI：
10.1002/ijgo.13883
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发表时间：
2021-11
影响因子：
3.8
通讯作者：
Groen, Reinou S.
中科院分区：
文献类型：
--
作者：
Hadley, Megan E.;Day, Gretchen;Beans, Julie A.;Groen, Reinou S.
关键词：
确定阿拉斯加土著妇女产后出血的危险因素。对2018年8月1日至2019年7月31日期间分娩的384名妇女（128例，256例对照）进行了病例对照研究，该研究在阿拉斯加州阿拉斯加原住民妇女三级产妇转诊中心进行。通过回顾性图表分析评估危险因素，并进行双变量和条件回归分析，确定有产后出血和无产后出血妇女之间的优势比（ORs）。体重指数≥40(或2.6;95%置信区间CI: 1.4—-4.5),产前出血(或6.3;95%可信区间1.2 - -31.6),以前的产后出血(或5;95%可信区间2.6 - -9.8),怀疑巨体(或2.7;95%可信区间1.4 - -5.3),巨大胎儿出生体重≥4000 g(或3.1;95%可信区间1.8 - -5.3),先兆子痫和硫酸镁(或4.0;95%可信区间2.0 - -8.0),第三阶段的劳动的长度> 20分钟(或2.2;95%可信区间1.1 - -4.4),催产素使用> 12小时(或5.4;95%可信区间2.0 - -14.6),居住在农村社区(或2.2;95% CI 1.4-3.6)和补充维生素D （OR 1.7; 95% CI 1.1-2.6）与产后出血风险增加相关。分析阿拉斯加原住民妇女产后出血的临床和地理危险因素，确定预防的重要目标。
To identify risk factors for postpartum hemorrhage in a population of Alaska Native women. A case control study of 384 women (128 cases, 256 controls) delivering between August 1, 2018, and July 31, 2019 was conducted at a Level III maternal referral center for Alaska Native women in Alaska. Risk factors were assessed via retrospective chart review, and bivariate and conditional regression analysis were conducted to determine odds ratios (ORs) between women with and without postpartum hemorrhage. Body mass index ≥40 (OR 2.6; 95% confidence interval [CI: 1.4–4.5), antepartum bleeding (OR 6.3; 95% CI 1.2–31.6), previous postpartum hemorrhage (OR 5; 95% CI 2.6–9.8), suspected macrosomia (OR 2.7; 95% CI 1.4–5.3), macrosomia with birthweight ≥4000 g (OR 3.1; 95% CI 1.8–5.3), pre-eclampsia with magnesium sulfate (OR 4.0; 95% CI 2.0–8.0), length of 3rd stage of labor >20 minutes (OR 2.2; 95% CI 1.1–4.4), oxytocin use >12 hours (OR 5.4; 95% CI 2.0–14.6), residence in a rural community (OR 2.2; 95% CI 1.4–3.6) and vitamin D supplementation (OR 1.7; 95% CI 1.1–2.6) were associated with greater risk of postpartum hemorrhage. Analysis of clinical and geographic risk factors for postpartum hemorrhage in Alaska Native women identified important targets for prevention.
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DOI：
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发表时间：
2015-12-01
影响因子：
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