Initial management of postpartum hemorrhage: A cohort study in Benin and Mali
| Autor: | Patrick Rozenberg, Cécile Bodin, Alexandre Dumont, Julie Tort, Mamadou Traoré, Benjamin Hounkpatin |
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| Přispěvatelé: | Mère et enfant en milieu tropical : pathogènes, système de santé et transition épidémiologique (MERIT - UMR_D 216), Institut de Recherche pour le Développement (IRD)-Université de Paris (UP), URFOSAME, Université de Cotonou, Risques cliniques et sécurité en santé des femmes et en santé périnatale (RISCQ), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Université Paris Diderot UNICEF, We wish to thank the Paris Diderot University who provided a salary grant to JT for this research, and the Inter-Institute Agency of Research for Development (AIRD) and UNICEF who also provided funding for the study., Kouanda, S. (ed.), Kabra, R. (ed.), Dumont, Alexandre (ed.) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Postnatal Care
medicine.medical_specialty Blood transfusion medicine.medical_treatment [SDV]Life Sciences [q-bio] Context (language use) Mali Oxytocin law.invention Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors law West Africa medicine Humans Benin Severe postpartum hemorrhage 030212 general & internal medicine Ligature 2. Zero hunger Gynecology 030219 obstetrics & reproductive medicine Hysterectomy Hemostatic Techniques Obstetrics business.industry Postpartum Hemorrhage Uterus Obstetrics and Gynecology General Medicine Delivery Obstetric medicine.disease Intensive care unit Obstetric Labor Complications 3. Good health Uterine atony Logistic Models PPH management Female Maternal death business Labor Stage Third Cohort study |
| Zdroj: | International Journal of Gynecology and Obstetrics International Journal of Gynecology and Obstetrics, Elsevier, 2016, 135, pp.S84-S88. ⟨10.1016/j.ijgo.2016.08.016⟩ |
| ISSN: | 0020-7292 |
| DOI: | 10.1016/j.ijgo.2016.08.016⟩ |
| Popis: | International audience; Objective To determine the components of initial management associated with a decreased risk of severe postpartum hemorrhage (PPH) in Benin and Mali. Methods A cohort study was conducted between May 2013 and September 2014 that included all women who delivered vaginally in seven participating centers and who presented excessive bleeding after birth. Severe PPH was defined as PPH that required surgical treatment (vascular ligature and/or hysterectomy), and/or blood transfusion, and/or transfer to an intensive care unit, and/or an outcome of maternal death. Logistic regression was used to identify the components of initial PPH management that were associated with severe PPH, adjusting for case mix. Results A total of 223 women presented a primary PPH presumably caused by uterine atony. Among those, 88 (39.5%) had severe PPH. Nearly one-third of women (30.4%) had a late injection of oxytocin (> 10 minutes) after PPH diagnosis or no injection. Oxytocin injection within 10 minutes after the PPH diagnosis was significantly associated with a decreased risk of severe PPH (adjusted OR = 0.3; 95% CI, 0.14–0.77). Conclusion Decrease in the delays in oxytocin administration is a key determinant to improve maternal outcomes related to PPH in this context. |
| Databáze: | OpenAIRE |
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