Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
Autor: | Thaís Betti, Helga Geremias Gouveia, Vanessa Aparecida Gasparin, Letícia Becker Vieira, Juliana Karine Rodrigues Strada, Júlia Fagherazzi |
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Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Revista Brasileira de Enfermagem, Vol 76, Iss 5 (2023) |
Druh dokumentu: | article |
ISSN: | 1984-0446 0034-7167 |
DOI: | 10.1590/0034-7167-2022-0134 |
Popis: | ABSTRACT Objectives: to identify the risk factors associated with primary postpartum hemorrhage in a university hospital. Methods: a cross-sectional study was conducted with 277 postpartum women who received care during childbirth or cesarean section between June and August 2020. Data were collected using a pre-structured questionnaire administered 24 hours after delivery. Poisson Regression was employed to analyze the factors associated with postpartum hemorrhage. Results: postpartum hemorrhage was observed in 30% of the study sample. Shock Index and uterine distension were found to be statistically associated with postpartum hemorrhage. Postpartum women with a Shock Index ≥ 0.9 had a 61% higher prevalence of postpartum hemorrhage (PR=1.61, 95% CI: 1.07 - 2.43), while those with uterine distension had a 134% higher prevalence (PR=2.34, 95% CI: 1.63 - 3.36). Conclusions: recognizing these factors contributes to improvements in clinical practice, as they enable the prediction of their occurrence and call for appropriate management, thereby preventing unfavorable outcomes. |
Databáze: | Directory of Open Access Journals |
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