1. Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study
- Author
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Chen-ning Liu, Fu-bing Yu, Yun-zhe Xu, Jin-sheng Li, Zhi-hong Guan, Man-na Sun, Chen-an Liu, Fang He, and Dun-jin Chen
- Subjects
Postpartum hemorrhage ,Causes ,Risk factors ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Although maternal deaths are rare in developed regions, the morbidity associated with severe postpartum hemorrhage (SPPH) remains a major problem. To determine the prevalence and risk factors of SPPH, we analyzed data of women who gave birth in Guangzhou Medical Centre for Critical Pregnant Women, which received a large quantity of critically ill obstetric patients who were transferred from other hospitals in Southern China. Methods In this study, we conducted a retrospective case-control study to determine the prevalence and risk factors for SPPH among a cohort of women who gave birth after 28 weeks of gestation between January 2015 and August 2019. SPPH was defined as an estimated blood loss ≥1000 mL and total blood transfusion≥4 units. Logistic regression analysis was used to identify independent risk factors for SPPH. Results SPPH was observed in 532 mothers (1.56%) among the total population of 34,178 mothers. Placenta-related problems (55.83%) were the major identified causes of SPPH, while uterine atony without associated retention of placental tissues accounted for 38.91%. The risk factors for SPPH were maternal age
- Published
- 2021
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