Prevalence of risk factors for primary postpartum hemorrhage in a university hospital

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 collect...

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Main Authors: Thaís Betti, Helga Geremias Gouveia, Vanessa Aparecida Gasparin, Letícia Becker Vieira, Juliana Karine Rodrigues Strada, Júlia Fagherazzi
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2023-11-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000900209&lng=en&tlng=en
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author Thaís Betti
Helga Geremias Gouveia
Vanessa Aparecida Gasparin
Letícia Becker Vieira
Juliana Karine Rodrigues Strada
Júlia Fagherazzi
author_facet Thaís Betti
Helga Geremias Gouveia
Vanessa Aparecida Gasparin
Letícia Becker Vieira
Juliana Karine Rodrigues Strada
Júlia Fagherazzi
author_sort Thaís Betti
collection DOAJ
description 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.
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spelling doaj.art-e8b93a55d5314b76ab2f3201fe84a6cd2023-11-28T07:36:15ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-11-0176510.1590/0034-7167-2022-0134Prevalence of risk factors for primary postpartum hemorrhage in a university hospitalThaís Bettihttps://orcid.org/0000-0003-2264-9604Helga Geremias Gouveiahttps://orcid.org/0000-0003-4980-4141Vanessa Aparecida Gasparinhttps://orcid.org/0000-0002-4266-3668Letícia Becker Vieirahttps://orcid.org/0000-0001-5850-7814Juliana Karine Rodrigues Stradahttps://orcid.org/0000-0002-9523-4584Júlia Fagherazzihttps://orcid.org/0000-0002-3422-6329ABSTRACT 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.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000900209&lng=en&tlng=enPostpartum HemorrhagePostpartum PeriodRisk FactorsPrevalenceMaternal Health
spellingShingle Thaís Betti
Helga Geremias Gouveia
Vanessa Aparecida Gasparin
Letícia Becker Vieira
Juliana Karine Rodrigues Strada
Júlia Fagherazzi
Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
Revista Brasileira de Enfermagem
Postpartum Hemorrhage
Postpartum Period
Risk Factors
Prevalence
Maternal Health
title Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
title_full Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
title_fullStr Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
title_full_unstemmed Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
title_short Prevalence of risk factors for primary postpartum hemorrhage in a university hospital
title_sort prevalence of risk factors for primary postpartum hemorrhage in a university hospital
topic Postpartum Hemorrhage
Postpartum Period
Risk Factors
Prevalence
Maternal Health
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000900209&lng=en&tlng=en
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