Risk of postpartum hemorrhage among Native American women
Risk of postpartum hemorrhage among Native American women
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DOI：
10.1016/j.ijgo.2015.05.037
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发表时间：
2015-12-01
影响因子：
3.8
通讯作者：
Mozurkewich, Ellen L.
中科院分区：
文献类型：
--
作者：
Chalouhi, Salam E.;Tarutis, Jodi;Mozurkewich, Ellen L.
目的：评估美国原住民妇女阴道分娩后产后出血（PPH）的风险是否增加。研究方法：在一项回顾性研究中，对2009年6月1日至2012年6月30日期间在美国新墨西哥州盖洛普的Rehoboth麦金利医院经阴道分娩的患者的病历进行了审查。族裔是通过自我报告确定的。PPH定义为目测估计失血量超过500 mL。进行多变量logistic分析以确定与PPH独立相关的因素。结果：在1062例合格患者中，751例（70.7%）为美洲原住民，311例（29.3%）为非原住民（白色、非洲裔美国人或西班牙裔）。美洲土著妇女发生PPH的比例明显高于非土著妇女（87 [11.6%] vs 22 [7.0%]; P = 0.02）。在多变量分析中，美洲原住民种族是PPH的独立预测因子（优势比1.8，95%可信区间1.1-3.0; P = 0.02）。仅与白色女性相比，PPH在美洲土著女性中的发生率明显更高（87/751 [11.6%] vs 13/194 [6.7%]; P = 0.01）。结论：美国土著妇女阴道分娩后发生PPH的风险高于非土著妇女。(C)2015年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To assess whether Native American women have an increased risk of postpartum hemorrhage (PPH) after vaginal delivery. Methods: In a retrospective study, medical charts were reviewed for patients who delivered vaginally at Rehoboth McKinley Hospital in Gallup, NM, USA, between June 1, 2009, and June 30, 2012. Ethnic origin had been determined by self-report. PPH was defined as a visually estimated blood loss of more than 500 mL. Multivariable logistic analysis was undertaken to identify factors independently associated with PPH. Results: Among 1062 eligible patients, 751 (70.7%) were Native American and 311 (29.3%) were non-native (white, African American, or Hispanic). A significantly higher proportion of Native Americans than non-native women developed PPH (87 [11.6%] vs 22 [7.0%]; P = 0.02). In multivariable analysis, Native American ethnic origin was an independent predictor of PPH (odds ratio 1.8,95% confidence interval 1.1-3.0; P = 0.02). In a comparison with white women only, PPH was significantly more frequent among Native American women (87/751 [11.6%] vs 13/194 [6.7%]; P = 0.01). Conclusion: Native American women have a higher risk of PPH after vaginal delivery than do non-native women. (C) 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.