Postpartum hemorrhage following vaginal delivery: risk factors and maternal outcomes

Objective: Limited understanding of risk factors exists for postpartum hemorrhage (PPH) post-vaginal delivery. The aim of this study was to identify risk factors for PPH post-vaginal delivery within a contemporary obstetric cohort. Study Design: Retrospective case–control study. PPH was classified b...

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Bibliographic Details
Published in:Journal of perinatology 2017-03, Vol.37 (3), p.243-248
Main Authors: Miller, C M, Cohn, S, Akdagli, S, Carvalho, B, Blumenfeld, Y J, Butwick, A J
Format: Article
Language:English
Subjects:
692/499
692/53/2423
Adult
Anesthesiology
California
Case-Control Studies
Childbirth
Childbirth & labor
Complications and side effects
Delivery (Childbirth)
Delivery, Obstetric - adverse effects
Delivery, Obstetric - methods
Erythrocytes
Female
Gestational age
Health aspects
Hemorrhage
Hormones
Hospitals
Humans
Independent variables
Logistic Models
Medical records
Medicine
Medicine & Public Health
Morbidity
Multivariate Analysis
Obstetrics
Odds Ratio
original-article
Patient outcomes
Patients
Pediatric Surgery
Pediatrics
Postpartum
Postpartum Hemorrhage - epidemiology
Postpartum Hemorrhage - therapy
Pregnancy
Puerperal disorders
Puerperium
Retrospective Studies
Risk analysis
Risk Factors
Tertiary Care Centers
Vagina
Womens health
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Summary:Objective: Limited understanding of risk factors exists for postpartum hemorrhage (PPH) post-vaginal delivery. The aim of this study was to identify risk factors for PPH post-vaginal delivery within a contemporary obstetric cohort. Study Design: Retrospective case–control study. PPH was classified by an estimated blood loss ⩾500 ml. Risk factors for PPH were identified using univariable and multivariable logistic regression. We secondarily investigated maternal outcomes and medical and surgical interventions for PPH management. Results: The study cohort comprised 159 cases and 318 controls. Compared with a second-stage duration
ISSN:0743-8346
1476-5543
DOI:10.1038/jp.2016.225