Relationship between duration of second stage of labour and postpartum anaemia

Infante-Torres, Nuria; Molina‐Alarcón, Milagros; Rubio-Álvarez, Ana; Rodríguez‐Almagro, Julián; Hernández‐Martínez, Antonio

doi:10.1016/j.wombi.2017.11.009

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…In another study on prolonged labor, the relationship between delivery time and postpartum anemia was investigated; prolongation of labor was found to have a higher risk in terms of postpartum anemia. [ 25 ] In our study, no significant differentiation was observed to be associated with a higher risk of postpartum anemia. The reason for this is that long labor is not the only risk factor for bleeding, and many risk factors may have affected it.…”

Section: Discussioncontrasting

confidence: 59%

Maternal and neonatal consequences of cystocele and rectocele in the delivery process

Başkiran,

Uçkan,

Çeleğen

et al. 2023

Medicine

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The study aimed to investigate the effects of cystocele and rectocele on the stages of vaginal birth and maternal and newborn outcomes. A total of 672 multiparous pregnant women between the ages of 18 to 40 who underwent normal vaginal delivery in our tertiary center between November 2022 and February 2023, were included in this prospective study. Among the participants, 348 (51.8%) had no abnormalities, 78 (11.6%) had rectocele only, 112 (16.7%) had cystocele only, and 134 (19.9) had both cystocele and rectocele. Patients with the coexistence of cystocele and rectocele experienced a notably extended duration for both the first stage and second stage of labor, although the extension in the second stage was not statistically significant. Among the maternal complications, the development of maternal laceration and chorioamnionitis was significantly more common in the patient group with cystocele and rectocele compared to the other groups. When the groups were assessed for postpartum bleeding, while the bleeding risk increased from the normal group to the rectocele + cystocele group, this increase was not statistically significant. There was no difference between the groups in terms of neonatal outcomes. The delivery time of pregnant women with cystocele and rectocele, in the absence of additional risk factors, was determined to be significantly longer than that of the control group. We think that these patients should receive more vigilant monitoring, and this criterion should be kept in mind when assessing the indication for a cesarean section.

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Section: Discussioncontrasting

confidence: 59%

Maternal and neonatal consequences of cystocele and rectocele in the delivery process

Başkiran,

Uçkan,

Çeleğen

et al. 2023

Medicine

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“…Postpartum anaemia is when the haemoglobin level is less than 11 gm/dl at 24 hours of the postpartum period [19,27].…”

Section: Operational Definitionsmentioning

confidence: 99%

“…e studies conducted in different parts of the world revealed that factors like young maternal age (<21 years) [14], low educational status of the mother [15], rural residence [16], cesarean mode delivery, episiotomy assisted delivery, prenatal anaemia [17][18][19], antepartum haemorrhage (APH), postpartum haemorrhage (PPH) [20], antenatal care (ANC) visit less than four [21], reactive (positive) in Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) test, malaria [15,16,22], and poor adherence of iron and folic acid (IFA) intake during pregnancy [15,[23][24][25] were some of the independent factors significantly associated with the occurrence of postpartum anaemia. e reduction of postpartum anaemia is a component of target 2 (50% anaemia reduction plan) of World Health Organizations' (WHO) to achieve sustainable development goals.…”

Section: Introductionmentioning

confidence: 99%

Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study

Abebaw

Gudayu

Rade

2020

Anemia

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Background. Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 424 study participants from August 1st to October 30th, 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at p value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at p value <0.05 were considered as statistically significant. Results. The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion. The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.

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A rapid landscape review of postpartum anaemia measurement: challenges and opportunities

Yourkavitch

Obara

Usmanova³

et al. 2023

BMC Public Health

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Background Anaemia is a reduction in haemoglobin concentration below a threshold, resulting from various factors including severe blood loss during and after childbirth. Symptoms of anaemia include fatigue and weakness, among others, affecting health and quality of life. Anaemic pregnant women have an increased risk of premature delivery, a low-birthweight infant, and postpartum depression. They are also more likely to have anaemia in the postpartum period which can lead to an ongoing condition and affect subsequent pregnancies. In 2019 nearly 37% of pregnant women globally had anaemia, and estimates suggest that 50–80% of postpartum women in low- and middle-income countries have anaemia, but currently there is no standard measurement or classification for postpartum anaemia. Methods A rapid landscape review was conducted to identify and characterize postpartum anaemia measurement searching references within three published systematic reviews of anaemia, including studies published between 2012 and 2021. We then conducted a new search for relevant literature from February 2021 to April 2022 in EMBASE and MEDLINE using a similar search strategy as used in the published reviews. Results In total, we identified 53 relevant studies. The timing of haemoglobin measurement ranged from within the immediate postpartum period to over 6 weeks. The thresholds used to diagnose anaemia in postpartum women varied considerably, with < 120, < 110, < 100 and < 80 g/L the most frequently reported. Other laboratory results frequently reported included ferritin and transferrin receptor. Clinical outcomes reported in 32 out of 53 studies included postpartum depression, quality of life, and fatigue. Haemoglobin measurements were performed in a laboratory, although it is unclear from the studies if venous samples and automatic analysers were used in all cases. Conclusions This review demonstrates the need for improving postpartum anaemia measurement given the variability observed in published measures. With the high prevalence of anaemia, the relatively simple treatment for non-severe cases of iron deficiency anaemia, and its importance to public health with multi-generational effects, it is crucial to develop common measures for women in the postpartum period and promote rapid uptake and reporting.

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Relationship between duration of second stage of labour and postpartum anaemia

Cited by 3 publications

References 27 publications

Maternal and neonatal consequences of cystocele and rectocele in the delivery process

Maternal and neonatal consequences of cystocele and rectocele in the delivery process

Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study

A rapid landscape review of postpartum anaemia measurement: challenges and opportunities

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