Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study
INTRODUCTION[|]Postpartum bleeding is a life-threatening obstetric problem all over the world, which needs to be well managed to reduce maternal mortality. In this study, we aim to predict postpartum bleeding by menstrual cycles of the patients.[¤]METHODS[|]A prospective, observational, cross-sectio...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2020-03-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-48303 |
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| author | Ali Doğukan Anğın Kazibe Koyuncu İsmet Gün Lokman Tekin Ertekin Önder Sakin Emine Eda Akalın Muzaffer Seyhan Cikman Ahmet Kale Engin Ersin Şimşek |
| author_facet | Ali Doğukan Anğın Kazibe Koyuncu İsmet Gün Lokman Tekin Ertekin Önder Sakin Emine Eda Akalın Muzaffer Seyhan Cikman Ahmet Kale Engin Ersin Şimşek |
| author_sort | Ali Doğukan Anğın |
| collection | DOAJ |
| description | INTRODUCTION[|]Postpartum bleeding is a life-threatening obstetric problem all over the world, which needs to be well managed to reduce maternal mortality. In this study, we aim to predict postpartum bleeding by menstrual cycles of the patients.[¤]METHODS[|]A prospective, observational, cross-sectional study was conducted between November 2017 and July 2018. All the patients that gave labour in our clinic were evaluated and grouped. Group 1 (n=240) consisted of the patients with regular menstrual cycles, and they had no history of bleeding disorders, Group 2 (n=60) consisted of the patients with abnormal uterine bleeding as >80 mL bleeding in a period, having period before 24 days, >8 days of bleeding in a period or intermenstrual bleeding. However, they had no other history of bleeding disorder. All the patients were screened for bleeding diathesis.[¤]RESULTS[|]The mean age was 28.77+-5.88 years and the mean prepartum hemoglobin was 11.76+-1.36 mg/dl. 118 (39.3%) of the patients had a vaginal delivery and 182 (60.7%) had a cesarean delivery. The mean postpartum hemoglobin was 10.71+-1.49 mg/dl. Group 1 had higher prepartum and postpartum hemoglobin than Group 2 (p=0.001 and p=0.003, respectively). Abnormal uterine bleeding (AUB) was correlated with prepartum (r=0.222, p=0.000) and postpartum hemoglobin (r=0.171, p=0.030). AUB was not significantly related to postpartum bleeding. Regarding fetal outcome, only neonatal intensive care unit admission was significantly related to abnormal uterine bleeding history (p=0.03).[¤]DISCUSSION AND CONCLUSION[|]Postpartum bleeding is not always a predictable status, and patients with abnormal uterine bleeding history should be expected to have lower hemoglobin levels prepartum and postpartum.[¤] |
| first_indexed | 2024-04-10T11:55:02Z |
| format | Article |
| id | doaj.art-9374e57432144bd1b63836b6d3ed43c6 |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T11:55:02Z |
| publishDate | 2020-03-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-9374e57432144bd1b63836b6d3ed43c62023-02-15T16:16:51ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982020-03-01311162010.14744/scie.2019.48303SCIE-48303Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective StudyAli Doğukan Anğın0Kazibe Koyuncu1İsmet Gün2Lokman Tekin Ertekin3Önder Sakin4Emine Eda Akalın5Muzaffer Seyhan Cikman6Ahmet Kale7Engin Ersin Şimşek8Obstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Sultan Abdülhamit Han Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyObstetrics and Gynecology Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyFamily Medicine Clinic, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]Postpartum bleeding is a life-threatening obstetric problem all over the world, which needs to be well managed to reduce maternal mortality. In this study, we aim to predict postpartum bleeding by menstrual cycles of the patients.[¤]METHODS[|]A prospective, observational, cross-sectional study was conducted between November 2017 and July 2018. All the patients that gave labour in our clinic were evaluated and grouped. Group 1 (n=240) consisted of the patients with regular menstrual cycles, and they had no history of bleeding disorders, Group 2 (n=60) consisted of the patients with abnormal uterine bleeding as >80 mL bleeding in a period, having period before 24 days, >8 days of bleeding in a period or intermenstrual bleeding. However, they had no other history of bleeding disorder. All the patients were screened for bleeding diathesis.[¤]RESULTS[|]The mean age was 28.77+-5.88 years and the mean prepartum hemoglobin was 11.76+-1.36 mg/dl. 118 (39.3%) of the patients had a vaginal delivery and 182 (60.7%) had a cesarean delivery. The mean postpartum hemoglobin was 10.71+-1.49 mg/dl. Group 1 had higher prepartum and postpartum hemoglobin than Group 2 (p=0.001 and p=0.003, respectively). Abnormal uterine bleeding (AUB) was correlated with prepartum (r=0.222, p=0.000) and postpartum hemoglobin (r=0.171, p=0.030). AUB was not significantly related to postpartum bleeding. Regarding fetal outcome, only neonatal intensive care unit admission was significantly related to abnormal uterine bleeding history (p=0.03).[¤]DISCUSSION AND CONCLUSION[|]Postpartum bleeding is not always a predictable status, and patients with abnormal uterine bleeding history should be expected to have lower hemoglobin levels prepartum and postpartum.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-48303abnormal uterine bleedingmenorrhagia; menometrorrhagia; postpartum bleeding. |
| spellingShingle | Ali Doğukan Anğın Kazibe Koyuncu İsmet Gün Lokman Tekin Ertekin Önder Sakin Emine Eda Akalın Muzaffer Seyhan Cikman Ahmet Kale Engin Ersin Şimşek Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study Southern Clinics of Istanbul Eurasia abnormal uterine bleeding menorrhagia; menometrorrhagia; postpartum bleeding. |
| title | Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study |
| title_full | Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study |
| title_fullStr | Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study |
| title_full_unstemmed | Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study |
| title_short | Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study |
| title_sort | does abnormal uterine bleeding in menstrual cycles predispose postpartum bleeding a prospective study |
| topic | abnormal uterine bleeding menorrhagia; menometrorrhagia; postpartum bleeding. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-48303 |
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