Risk factors for postpartum hemorrhage following cesarean delivery

Risk factors for postpartum hemorrhage following cesarean delivery
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DOI:
10.1080/14767058.2020.1834533
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发表时间:
2021-01-27
影响因子:
1.8
通讯作者:
Hiersch, Liran
Hiersch, Liran
中科院分区:
医学4区
文献类型:
--
作者:
Ashwal, Eran;Bergel Bson, Riki;Hiersch, Liran

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目的确定剖宫产后产后出血(PPH)的危险因素(CD).MethodsA回顾性研究在大学附属三级医院接受CD的所有妇女(2014-15)。PPH定义为以下任何一种情况:临床PPH(估计失血量>= 1000 ml),血红蛋白(Hb)下降>= 3 g/dl(CD前24小时内Hb水平的差异)和CD后(CD后前72小时内的最低水平))或需要输血。与PPH后CD的妇女的特点进行了比较,与CD没有PPH的对照组。ResultsOf 15,564分娩在研究期间,3208(20. 6%)妇女符合纳入标准,其中,307(9. 6%)有PPH和2901(90. 4%)作为对照。PPH组的女性更年轻(32.6 +/- 5.3 vs. 33.5 +/- 5.4,p = 0.006),且更常未经产(45.9% vs. 33.3%,p
ObjectiveTo identify risk factors for postpartum hemorrhage (PPH) following cesarean delivery (CD).MethodsA retrospective study of all women who underwent CD in a university-affiliated tertiary hospital (2014-15). PPH was defined as any of the following: clinical PPH (>= 1000 ml estimated blood loss), hemoglobin (Hb) drop >= 3 g/dl (the difference between pre-CD Hb level within a 24 h prior to the delivery) and post-CD (nadir level during the first 72 h after CD)) or the need for blood products transfusion. The characteristics of women with PPH following CD were compared to a control group of those with CD without PPH.ResultsOf the 15,564 deliveries during the study period, 3208 (20.6%) women met inclusion criteria, of them, 307 (9.6%) had PPH and 2901 (90.4%) served as controls. Women in the PPH group were younger (32.6 +/- 5.3 vs. 33.5 +/- 5.4, p = .006) and more often nulliparous (45.9% vs. 33.3%, p