Postpartum hemorrhage and risk for postpartum readmission

Early postpartum readmissions: identifying risk factors at birth hospitalization

“… 5 Furthermore, we have shown previously that approximately 12% of severe maternal morbidity cases occurred after delivery hospitalization discharge. 20 Despite a median time from discharge to readmission of 7 days, 7 previous studies have mainly investigated readmissions within 30 or 60 days of discharge after delivery hospitalization 8 , 9 , 10 , 21 with only a few examining readmissions within the first 7 days. 13 We selected postpartum readmission within the first 6 days as our primary outcome as a vehicle to examine the care needed during the immediate postpartum period.…”

“…However, despite previous studies showing that the median time from discharge to postpartum readmission is 7 days (interquartile range, 2–19 days), 7 the current literature on postpartum readmissions has focused mostly on factors associated with a readmission from 30 to 90 days postpartum. 8 , 9 , 10 , 11 , 12 Few studies have investigated postpartum readmissions with ≤7 days of discharge. 13 Identification of patients at risk of immediate return to the hospital after birth hospitalization could help to identify patients needing additional preparedness for discharge.…”

Manejo de una paciente embarazada con déficit congénito de Factor VII leve

“…Manejo de una paciente embarazada con déficit congénito de Factor VII leve Nigel P Murray 1,2 , Javier Ilabaca 3, Néstor Lagos 3 , Miguel Biron 3 , Cristian Pinats 3 , Simona Minzer 4 . 1 Hematologo, Servicio de Medicina, Hospital de Carabineros de Chile, Simón Bolívar 2200, Ñuñoa, Santiago.…”

“…Pedro de Valdivia 1509, Providencia, Santiago. 3 Servicio de Obstétrica y Ginecología, Hospital de Carabineros de Chile, Simón Bolívar 2200, Ñuñoa, Santiago. 4 Servico de Medicina, Hospital de Carabineros de Chile, Simón Bolívar 2200, Ñuñoa, Santiago.…”

Comparison of vaginal birth outcomes in midwifery-led versus physician-led setting: A propensity score-matched analysis

“…It is well documented that midwifery-led care can be important to improve quality of care, outcomes, and be more efficient in the use of health care resources by reducing maternal and neonatal mortality and morbidity, reducing stillbirth and preterm birth, decreasing the number of unnecessary interventions, and improving psychosocial and public health outcomes [ 3 ]. Global health experts in many countries are recommending a scaling up midwifery-led care as a model to improve maternal and newborn outcomes, reduce rates of unnecessary interventions, realise cost savings, and facilitate normal spontaneous vaginal birth [ 4 , 5 , 6 ].…”