Analysis of Risk Factors for Severe Postpartum Hemorrhage
Background: The purpose of this study is to outline the probable causes of severe postpartum hemorrhage (sPPH), summarize its risk factors, and present strategies for its prevention and treatment. Methods: This is a retrospective analysis of the medical records of 1824 patients that showed postpartu...
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| Format: | Article |
| Language: | English |
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IMR Press
2024-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108171 |
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| author | Yongxin Zhang Jing Zhang Kaihua Guo Yanan Gao Yu Zhu Guohua Zhang |
| author_facet | Yongxin Zhang Jing Zhang Kaihua Guo Yanan Gao Yu Zhu Guohua Zhang |
| author_sort | Yongxin Zhang |
| collection | DOAJ |
| description | Background: The purpose of this study is to outline the probable causes of severe postpartum hemorrhage (sPPH), summarize its risk factors, and present strategies for its prevention and treatment. Methods: This is a retrospective analysis of the medical records of 1824 patients that showed postpartum hemorrhage (PPH) during natural delivery and were admitted to the Fourth Hospital of Shijiazhuang between 1 January, 2014 and 31 December, 2018. The pairing method was used in this study. We collected and analyzed the clinical data after dividing the patients into two groups, a study group (showing sPPH) and a control group (showing non-severe PPH), with each having 912 patients. Risk prevention strategies are also discussed. Results: In the study group, the conditions such as previous history of cesarean section, placental diseases (marginal placenta previa, placenta accreta, central placenta previa and low-lying placenta), IVF-ET pregnancy, antepartum hemorrhage, and prepartum hemoglobin (g/L) were prevalent but rarely reported in the control group. The multivariate logistic regression results showed that BMI before pregnancy, past history of postpartum hemorrhage, prepartum APTT, prepartum fibrinogen (FIB) (g/L), pre-transfusion hemoglobin (g/L), pre-transfusion platelet count (×109), pre-transfusion coagulation function prothrombin time (PT), marginal placenta previa, placenta accreta, central placenta previa, IVF-ET pregnancy and antepartum hemorrhage were all independent risk factors for sPPH. Conclusions: Probable causes of sPPH related and risk factors in order to present prevention and treatment strategies in a retrospective analysis of 1824 patients that showed PPH were outlined. Since occurrence of sPPH has been related to these various factors, constructing a risk prevention strategy against these independent factors can effectively reduce the rate of maternal mortality. |
| format | Article |
| id | doaj-art-a80d9fe7a6d14c78bee8bdd0602cee40 |
| institution | DOAJ |
| issn | 0390-6663 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-a80d9fe7a6d14c78bee8bdd0602cee402025-08-20T03:03:42ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632024-08-0151817110.31083/j.ceog5108171S0390-6663(24)02385-6Analysis of Risk Factors for Severe Postpartum HemorrhageYongxin Zhang0Jing Zhang1Kaihua Guo2Yanan Gao3Yu Zhu4Guohua Zhang5Department of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaDepartment of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaDepartment of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaDepartment of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaDepartment of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaDepartment of Obstetrics, The Fourth Hospital of Shijiazhuang, 050000 Shijiazhuang, Hebei, ChinaBackground: The purpose of this study is to outline the probable causes of severe postpartum hemorrhage (sPPH), summarize its risk factors, and present strategies for its prevention and treatment. Methods: This is a retrospective analysis of the medical records of 1824 patients that showed postpartum hemorrhage (PPH) during natural delivery and were admitted to the Fourth Hospital of Shijiazhuang between 1 January, 2014 and 31 December, 2018. The pairing method was used in this study. We collected and analyzed the clinical data after dividing the patients into two groups, a study group (showing sPPH) and a control group (showing non-severe PPH), with each having 912 patients. Risk prevention strategies are also discussed. Results: In the study group, the conditions such as previous history of cesarean section, placental diseases (marginal placenta previa, placenta accreta, central placenta previa and low-lying placenta), IVF-ET pregnancy, antepartum hemorrhage, and prepartum hemoglobin (g/L) were prevalent but rarely reported in the control group. The multivariate logistic regression results showed that BMI before pregnancy, past history of postpartum hemorrhage, prepartum APTT, prepartum fibrinogen (FIB) (g/L), pre-transfusion hemoglobin (g/L), pre-transfusion platelet count (×109), pre-transfusion coagulation function prothrombin time (PT), marginal placenta previa, placenta accreta, central placenta previa, IVF-ET pregnancy and antepartum hemorrhage were all independent risk factors for sPPH. Conclusions: Probable causes of sPPH related and risk factors in order to present prevention and treatment strategies in a retrospective analysis of 1824 patients that showed PPH were outlined. Since occurrence of sPPH has been related to these various factors, constructing a risk prevention strategy against these independent factors can effectively reduce the rate of maternal mortality.https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108171prenatal risk factorsprevention strategysevere postpartum hemorrhage |
| spellingShingle | Yongxin Zhang Jing Zhang Kaihua Guo Yanan Gao Yu Zhu Guohua Zhang Analysis of Risk Factors for Severe Postpartum Hemorrhage Clinical and Experimental Obstetrics & Gynecology prenatal risk factors prevention strategy severe postpartum hemorrhage |
| title | Analysis of Risk Factors for Severe Postpartum Hemorrhage |
| title_full | Analysis of Risk Factors for Severe Postpartum Hemorrhage |
| title_fullStr | Analysis of Risk Factors for Severe Postpartum Hemorrhage |
| title_full_unstemmed | Analysis of Risk Factors for Severe Postpartum Hemorrhage |
| title_short | Analysis of Risk Factors for Severe Postpartum Hemorrhage |
| title_sort | analysis of risk factors for severe postpartum hemorrhage |
| topic | prenatal risk factors prevention strategy severe postpartum hemorrhage |
| url | https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108171 |
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