دورية أكاديمية
أعرض في EDS

Postpartum hemorrhage in electronic health records: risk factors at admission and in-hospital occurrence.

التفاصيل البيبلوغرافية
العنوان: Postpartum hemorrhage in electronic health records: risk factors at admission and in-hospital occurrence.
المؤلفون: Martins RIL; Universidade Federal de Minas Gerais Faculty of Medicine Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Novais JSM; Universidade Federal de Minas Gerais Faculty of Medicine Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Reis ZSN; Universidade Federal de Minas Gerais Faculty of Medicine Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
المصدر: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2024 Mar 15; Vol. 46. Date of Electronic Publication: 2024 Mar 15 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Federação das Sociedades de Ginecologia e Obstetrícia Country of Publication: Brazil NLM ID: 9214757 Publication Model: eCollection Cited Medium: Internet ISSN: 1806-9339 (Electronic) Linking ISSN: 01007203 NLM ISO Abbreviation: Rev Bras Ginecol Obstet Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024- : São Paulo : Federação das Sociedades de Ginecologia e Obstetrícia
Original Publication: [São Paulo, Brazil] : Medisa Editora
مواضيع طبية MeSH: Postpartum Hemorrhage*/epidemiology , Postpartum Hemorrhage*/etiology , Electronic Health Records*, Humans ; Female ; Retrospective Studies ; Adult ; Risk Factors ; Pregnancy ; Young Adult ; Patient Admission/statistics & numerical data ; Prevalence ; Risk Assessment ; Cohort Studies
مستخلص: Objective: Postpartum hemorrhage (PPH) is the leading cause of maternal death globally. Therefore, prevention strategies have been created. The study aimed to evaluate the occurrence of PPH and its risk factors after implementing a risk stratification at admission in a teaching hospital.
Methods: A retrospective cohort involving a database of SISMATER® electronic medical record. Classification in low, medium, or high risk for PPH was performed through data filled out by the obstetrician-assistant. PPH frequency was calculated, compared among these groups and associated with the risk factors.
Results: The prevalence of PPH was 6.8%, 131 among 1,936 women. Sixty-eight (51.9%) of them occurred in the high-risk group, 30 (22.9%) in the medium-risk and 33 (25.2%) in the low-risk group. The adjusted-odds ratio (OR) for PPH were analyzed using a confidence interval (95% CI) and was significantly higher in who presented multiple pregnancy (OR 2.88, 95% CI 1.28 to 6.49), active bleeding on admission (OR 6.12, 95% CI 1.20 to 4.65), non-cephalic presentation (OR 2.36, 95% CI 1.20 to 4.65), retained placenta (OR 9.39, 95% CI 2.90 to 30.46) and placental abruption (OR 6.95, 95% CI 2.06 to 23.48). Vaginal delivery figured out as a protective factor (OR 0.58, 95% CI 0.34 to 0.98).
Conclusion: Prediction of PPH is still a challenge since its unpredictable factor arrangements. The fact that the analysis did not demonstrate a relationship between risk category and frequency of PPH could be attributable to the efficacy of the strategy: Women classified as "high-risk" received adequate medical care, consequently.
Competing Interests: Conflicts to interest: none to declare.
(© 2024. Federação Brasileira de Ginecologia e Obstetrícia. All rights reserved.)
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فهرسة مساهمة: Keywords: Electronic health records; Maternal mortality; Postpartum hemorrhage; Puerperal disorders; Risk factors
تواريخ الأحداث: Date Created: 20240520 Date Completed: 20240520 Latest Revision: 20240521
رمز التحديث: 20240521
مُعرف محوري في PubMed: PMC11075434
DOI: 10.61622/rbgo/2024AO14
PMID: 38765539
قاعدة البيانات: MEDLINE
الوصف
تدمد:1806-9339
DOI:10.61622/rbgo/2024AO14