Obstetric Hemorrhage

Papazian, Jason; Kacmar, Rachel M.

doi:10.1016/j.aan.2017.07.004

Cited by 8 publications

(4 citation statements)

References 141 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The vaginal delivery group had a higher incidence of puerperal bleeding, although it is not possible to conclude that cesarean section is preventive because the highest rate of preeclampsia and CCH in the vaginal delivery group, which are known risk factors for puerperal bleeding, was not considered. Moreover, the labor time and the incidence of induction in the vaginal delivery group were not analyzed because prolonged births are associated with uterine hypotonia, the main cause of increased bleeding [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perinatal complications of the maternal–Fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section: A retrospective study of clinical results associated with bioethical precepts

Mascarenhas Silva,

Soares Laranjeira,

Barros de Melo

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

The obstetrics field is undergoing transformation and committing to ensuring the autonomy of pregnant women in decisions related to birth based on scientific information. The physiological process of birth typically results in vaginal delivery, but medicine has evolved to include obstetric surgeries that are safe and result in few perioperative complications, especially when cesarean section is performed from 39 weeks of gestational age. Thus, the question is whether clinicians should interfere with pregnant women’s freedom to choose their mode of delivery by trying to persuade them to choose vaginal delivery. The objective was to analyze the perinatal complications of the maternal–fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section with respect to the bioethical precepts of autonomy, beneficence and nonmaleficence. In total, 2,507 women, including 1,807 (72.1%) with vaginal deliveries and 700 (27.9%) with cesarean deliveries, were analyzed between 2017 and 2020. There was no difference between the types of delivery in maternal readmission, death, admission to the intensive care unit, an Apgar score <7 in the 5th minute of life, maternal blood transfusion or comorbidities of the mothers or newborns. The elective cesarean section group showed less need for therapeutic uterotonics. In primigravidae, it was observed that elective cesarean section did not present a higher risk of complications than vaginal delivery. Therefore, this guarantees the autonomy and right of the individual to choose the mode of delivery.

show abstract

Section: Discussionmentioning

confidence: 99%

“…preeclampsia and CCH in the vaginal delivery group, which are known risk factors for puerperal bleeding, was not considered. Moreover, the labor time and the incidence of induction in the vaginal delivery group were not analyzed because prolonged births are associated with uterine hypotonia, the main cause of increased bleeding [23].…”

Section: Plos Onementioning

confidence: 99%

Perinatal complications of the maternal–Fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section: A retrospective study of clinical results associated with bioethical precepts

Mascarenhas Silva,

Soares Laranjeira,

Barros de Melo

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The literature advocates for extra vigilance during the antenatal and intrapartum periods to identify women at risk and implement early intervention to prevent PPH. [20] PPH prevention lies also in the identification of the associated risk factors and proper management of the third stage of labor. [15] The continuum of care from antenatal to postnatal periods was found to be an important consideration as health interventions in prevention of PPH in isolation will likely not be enough to prevent morbidity and mortality associated with PPH.…”

Section: Introductionmentioning

confidence: 99%

“…[22] Therefore, optimal care during obstetric hemorrhage remains an area of active research and it has been reported that individual patients need to undergo risk assessment starting in the antenatal period and this assessment need to be optimized as much as possible. [20] Additionally, it is suggested that policy and research should address potentially modifiable risk factors of PPH. [9] Guidelines, strategies and checklists are found in the literature [16,[23][24][25] and are in use in developed countries to assist health care providers in detection of women at risk of developing PPH.…”

Section: Introductionmentioning

confidence: 99%

Who is at risk? The development of a tool to predict and prevent postpartum hemorrhage

Bazirete

Nzayirambaho

Umubyeyi

et al. 2020

JNEP

View full text Add to dashboard Cite

Background: Postpartum hemorrhage remains the main cause of maternal mortality in Low and Middle Income Countries. There is a need to advocate for extra vigilance to recognize women at a greater risk and implement early intervention for Postpartum hemorrhage prevention. The purpose of the present study is to develop a content validated risk assessment tool for the prediction and prevention of Postpartum hemorrhage among childbearing women.Methods: This study is drawn from a larger mixed method sequential exploratory study. Factors influencing the prevention of Postpartum hemorrhage were identified from a scoping review and qualitative descriptive studies previously conducted. To establish content validity Index of the instrument, content experts assessed each item of the tool for comprehensiveness, relevance, and face validity. The tool was pilot tested to assess its clinical utility by fifteen (15) health care providers purposively selected from one district hospital based on a minimum of one-year experience in maternity. Ethical considerations were observed.Results: The Risk Assessment Tool went through three rounds of assessment for its content validity. The final round of quantification of the content validity demonstrates that 4 items out of 46 had an Item Content Validity Index (I-CVI) of 0.85 while 42 had the maximum I-CVI of 1. The overall Scale Content Validity Index/ Average (S-CVI/Ave) was 0.98, and the universal approach of Scale Content Validity Index/Universal Agreement (S-CVI/UA) was 0.91. The assessment of clinical utility of Risk Assessment Tool for the Prediction and Prevention of Postpartum hemorrhage among Childbearing women (RATP) demonstrates that its format allows easy recording of findings and using the tool can be an added value for prevention of PPH.Conclusions: The risk assessment tool for the prediction and prevention of Postpartum hemorrhage is intended to be used by health care providers in Rwanda to identify mothers at risk of developing PPH and implement timely prevention strategies. The clinical use of the tool can be vital in the development of accurate preventive approaches by key policy makers in Rwanda in particular and in other developing countries.

show abstract

Vaginaal bloedverlies

Sonneveld¹

2019

Kleine Kwalen en Alledaagse Klachten Bij Zwangeren

View full text Add to dashboard Cite

Obstetric Hemorrhage

Cited by 8 publications

References 141 publications

Perinatal complications of the maternal–Fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section: A retrospective study of clinical results associated with bioethical precepts

Perinatal complications of the maternal–Fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section: A retrospective study of clinical results associated with bioethical precepts

Who is at risk? The development of a tool to predict and prevent postpartum hemorrhage

Vaginaal bloedverlies

Contact Info

Product

Resources

About