Postpartum hemorrhage: early identification challenges

Andrikopoulou, Maria; D’Alton, Mary E.

doi:10.1053/j.semperi.2018.11.003

Cited by 74 publications

(87 citation statements)

References 37 publications

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Section: Introductionmentioning

confidence: 99%

“…Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality worldwide which occurs up to 10% of all deliveries (1). PPH is characterized by blood loss during the puerperium (≥ 500 cc) with symptoms of hypovolemic within 24 hours after cesarean delivery or vaginal birth (1)(2). Maternal deaths due to PPH occur in more than half of mothers after childbirth, with a duration of death every 4 minutes or an estimated 140,000 maternal deaths worldwide every year, most of them are unknown to previous risk factors (3).…”

Section: Introductionmentioning

confidence: 99%

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The THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA

Anggraeni

Herawati²,

Widyawati³

2019

IJNHS

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Sub uterine involution is one of the pathological symptoms of the postpartum period, which causes complications. This is indicated by the size of the fundus uterine, which is greater than the normal size and elongated outflow of lochia. One of the non-pharmacological methods for preventing sub uterine involution is postpartum yoga which focuses on physical and breathing exercises, strengthening of the pelvic floor muscles, and relaxation of autosuggestions. The study aimed to analyze the effectiveness of postpartum yoga on uterine involution. A quasi-experimental, pre-test and post-test with the control group was applied in this study. Thirty-eight postpartum women received postpartum yoga as the intervention group. The control group was comprised of 19 women. The gain score of uterine involution in the intervention group was 9.14 ± 1.27 and in the control group 7.20 ± 1.11. The Cohen’s effect size test is 1.63. The result of the mann whitney test showed that there was a significant difference between the intervention group and the control group with p value 0,000. The result of determination (R Square), postpartum yoga had an effect of 40.3% on uterine involution after being controlled simultaneously with parity, frequency of breastfeeding, and anxiety. Postpartum yoga is effective to strengthen the uterine muscles, facilitate blood circulation, and stimulate neurohormonal so it could accelerate uterine involution. Further studies could measure of fundus uterine daily. Future researchers can develop postpartum yoga research with other variables such as anxiety, urinary incontinence, quality of life for postpartum women, and hormonal variables including oxytocin, endorphins, and cortisol. Keywords: postpartum yoga, postpartum period, postpartum exercise, uterine involution

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA

Anggraeni

Herawati²,

Widyawati³

2019

IJNHS

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“…The prevalence of immediate postpartum hemorrhage was 1.6%. While this prevalence varies from 0.86% to 9.0% according to studies reported in some countries (5,7,12,13,14,15,16,17,18). In populationbased studies, the incidence of PPH is around 5% of deliveries when blood loss is not accurately measured, and around 10% when blood loss is accurately measured (19).…”

Section: Prevalence Of Ipphmentioning

confidence: 99%

Immediate postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women

Woromogo¹,

Ambounda

Yagata-Moussa

et al. 2020

Preprint

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Abstract Background In Gabon, the frequency of maternal deaths directly related to Immediate PostPartum Haemorrhage (IPPH) is 15 to 25%, despite the different means that World Health Organization (WHO) has made available to the providers of the Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was to determine the prevalence and epidemiological characteristics of IPPH in order to improve its management and reduce the rate of maternal deaths. Methods An analytical retrospective study involved 42,728 records, whose data were collected using a chart collection form on the basis of information contained in partograms and other patient records. The description of the sample is made using numbers and proportions. The relationship between the etiologies of IPPH and certain characteristics of the women was established using the ORs with their 95% confidence interval. The difference was significant if p < 0.05. Results The prevalence of IPPH was 1.6%. The 20–39 age group was the most represented. Multiparous women accounted for 67.2%. Delivery hemorrhages accounted for 65.5% of IPPH. The main factors associated with delivery hemorrhages were multiparity (p < 0.001), preterm and postterm (p < 0.001), and child weight > 4,000 g (p < 0.001). Those associated with genital track injuries were young maternal age, multiparity (p < 0.001). Conclusions The prevalence of IPPH was 1.6%. The most common etiology was hemorrhage from delivery. Multiparity remains the most common risk factor and the young age of the patients. It is important to improve management through better assessment of blood loss in the immediate postpartum as well as capacity building of health providers on EmONC.

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“…An underestimation of postpartum blood loss delays the diagnosis and treatment of PPH, which can cause severe consequences, even death. Individual risk factors have been identi ed; however, studies have reported that they cannot accurately predict the occurrence of PPH [5,6]. Presently, decreasing the prevalence of PPH remains a challenge [7,8], and the accurate measurement of postpartum blood loss is critical for the diagnosis, prevention, and treatment of PPH, especially in severe cases [9].…”

Section: Introductionmentioning

confidence: 99%

Measurement of Postpartum Blood Loss Using a New Two - Set Liquid Collection Bag for Vaginal Delivery: A Prospective, Randomized, Case Control Study

Wang

Weng

et al. 2020

Preprint

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Background Postpartum hemorrhage (PPH) is a major obstetric complication, and the real-time measurement of blood loss is important in the management and treatment of PPH. We designed a new two-set liquid collection bag (TSLCB) for measuring postpartum blood loss in vaginal delivery. The aim of this study was to evaluate the effectiveness of the TSLCB in separating the blood from the amniotic fluid during vaginal delivery and in determining the accuracy of the measured postpartum blood loss.Methods A prospective, randomized, case control study was conducted in the Women’s Hospital, Zhejiang University School of Medicine, from March 2018 to April 2018. Sixty single pregnant women with spontaneous labor at 37–41 weeks without maternal complications were randomly divided into the experimental and control groups. The TSLCB was used to evaluate separately the amount of blood and amniotic fluid. For the control group, visual estimation and traditional plastic blood-collecting consumables were used to estimate the amount of postpartum blood loss. The measured blood loss between the two groups was compared, and the association of the measured blood loss with various clinical lab indices and vital signs was investigated. Results The TSLCB (the experimental group) improved the detection of the measured blood loss compared with visual estimation and the traditional method (the control group) (p < 0.05). In the experimental group, correlation analysis showed that the measured blood loss at delivery and within 24 h of delivery was significantly associated with the decreased hemoglobin level, red blood cell count, and hematocrit level of patients (r = -0.574, -0.455, -0.437; r = 0.-595, -0.368, -0.374; p < 0.05). In the control group, only the measured blood loss within 24 h of delivery was associated with the decreased hemoglobin level (r = -0.395, p < 0.05). No blood transfusion and plasma expanders were required in the treatment of PPH for both groups.Conclusions The TSLCB can be used to accurately measure the postpartum blood loss in vaginal delivery by medical personnel.Trial registration: This trial was registered with Chinese Clinical Trial Registry (ChiCTR): ChiCTR-IOR-17012453, 23 August 2017.

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Postpartum hemorrhage: early identification challenges

Cited by 74 publications

References 37 publications

The THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA

The THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA

Immediate postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women

Measurement of Postpartum Blood Loss Using a New Two - Set Liquid Collection Bag for Vaginal Delivery: A Prospective, Randomized, Case Control Study

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