Estimated blood loss in pregnant women with cardiac disease compared with low risk women: a restrospective cohort study
| Autor: | Tara J Selman, Lucy Hudsmith, Sara Thorne, Peter J. Thompson, James Hodson, Rachel K. Morris, Hsu Phern Chong |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Heart Diseases Population Pregnancy Complications Cardiovascular Oxytocin lcsh:Gynecology and obstetrics Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Oxytocics medicine Humans 030212 general & internal medicine Young adult education lcsh:RG1-991 Retrospective Studies education.field_of_study 030219 obstetrics & reproductive medicine Obstetrics business.industry Cesarean Section Cephalic presentation Postpartum Hemorrhage Case-control study Obstetrics and Gynecology Retrospective cohort study medicine.disease Delivery Obstetric United Kingdom Case-Control Studies Cohort Multivariate Analysis Female business Labor Stage Third Cohort study Research Article |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-9 (2019) |
| ISSN: | 1471-2393 |
| Popis: | Background Women with cardiac disease are thought to be at increased risk of post-partum haemorrhage. We sought to assess the estimated blood loss (EBL) in our cohort of women with and without cardiac disease (CD) in a quaternary hospital in the UK. Our population consisted of both congenital and acquired CD; and low risk women who delivered in our unit between 01/01/2012–30/09/2016. Methods Data were collected using computerised hospital records. CD was classified according to the modified WHO classification (mWHO). The primary outcome measure was estimated blood loss (mL). Results A total of 5413 women with a singleton fetus in the cephalic presentation delivered during the study period (159 women with CD and 5254 controls). In the CD group, active management of the third stage of labour was consistent with that used in low risk women in 98% (152/155) of cases. Multivariable analyses demonstrated no significant difference in EBL between women with CD vs controls. The adjusted average blood losses were 247.2 ml, 241.8 ml and 295.9 ml in the control group, mWHO 1–2 and 3–4, respectively (p = 0.165). Conclusions Women with CD have comparable EBL to low risk women when management of the active third stage of labour is the same. |
| Databáze: | OpenAIRE |
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