Postpartum hemorrhage in maternal mothers at Anutapura Public Hospital in Palu, 2017

Nur, Rosmala; Sarina, Hasra Sartika; Patui, Nurhaya S.; Radhiah, Sitti; Suwendro, Novi Inriyanny; Ariani,; Salmawati, Lusia

doi:10.1016/j.gaceta.2021.10.014

Cited by 2 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,[9][10][11] Therefore, it is important to consider whether the observed non-inferiority of HSC over oxytocin may have been influenced by underlying potential risk factors for PPH-specifically, among women with biologic (macrosomia, parity 3 or more, or previous history of hemorrhage) and/or pharmacologic (induction or augmentation) risk factors. 10,12,13 The objective of this secondary analysis of the CHAMPION trial data was to assess the differential response to two prophylactic uterotonics (HSC and oxytocin) taking into consideration the presence of biologic or pharmacologic risk factors. We specifically compared the effects of HSC and oxytocin on blood loss (≥500 or ≥1000 mL) among four mutually exclusive subgroups of women: no reported risk factors for PPH (i.e., neither biologic nor pharmacologic risk factors), only biologic risk factors, only pharmacologic risk factors, and both types of risk factors.…”

Section: Introductionmentioning

confidence: 99%

“…Induction of labor and prolonged first stage of labor (which may lead to augmentation) have been found in meta‐analysis to be associated with increased risk of PPH, although previous exposure to oxytocin was not confirmed by meta‐analysis despite a suggested association in qualitative analysis 4,9–11 . Therefore, it is important to consider whether the observed non‐inferiority of HSC over oxytocin may have been influenced by underlying potential risk factors for PPH—specifically, among women with biologic (macrosomia, parity 3 or more, or previous history of hemorrhage) and/or pharmacologic (induction or augmentation) risk factors 10,12,13 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Heat stable carbetocin or oxytocin for prevention of postpartum hemorrhage among women at risk: A secondary analysis of the CHAMPION trial

Ghosh

Owa²,

Santos

et al. 2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveTo examine whether the observed non‐inferiority of heat‐stable carbetocin (HSC), compared with oxytocin, was influenced by biologic (macrosomia, parity 3 or more, or history of postpartum hemorrhage [PPH]) and/or pharmacologic (induction or augmentation) risk factors for PPH.MethodsThe present study is a secondary analysis of the CHAMPION non‐inferiority randomized trial—a two‐arm, double‐blind, active‐controlled study conducted at 23 hospitals in 10 countries, between July 2015 and January 2018. Women with singleton pregnancies, expected to deliver vaginally with cervical dilatation up to 6 cm were eligible. Randomization was stratified by country, with 1:1 assignment. Women in the intervention and control groups received a single intramuscular injection of 100 μg of HSC or 10 IU of oxytocin, respectively. The drugs were administered immediately after birth, and the third stage of labor was managed according to the WHO guidelines. Blood was collected using a plastic drape. For this analysis, we defined a woman as being at risk if she had any one or more of the biologic or pharmacologic risk factor(s).ResultsThe HSC and oxytocin arms contained 14 770 and 14 768 women, respectively. The risk ratios (RR) for PPH were 1.29 (95% confidence interval [CI] 1.08–1.53) or 1.73 (95% CI 1.51–1.98) for those with only biologic (macrosomia, parity 3 or more, and PPH in the previous pregnancy) or only pharmacologic (induced or augmented) risk factors, respectively, compared with those with neither risk factors.ConclusionsFindings reinforce previous evidence that macrosomia, high parity, history of PPH, and induction/augmentation are risk factors for PPH. We did not find a difference in effects between HSC and oxytocin for PPH among women who were neither induced nor augmented or among those who were induced or augmented.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Heat stable carbetocin or oxytocin for prevention of postpartum hemorrhage among women at risk: A secondary analysis of the CHAMPION trial

Ghosh

Owa²,

Santos

et al. 2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…To reduce such cases, in accordance with the competency standards, midwives are responsible for ensuring that every mother has access to safe and comfortable postpartum care, which includes physical and psychological care, providing support in exclusive breastfeeding, preventing and early detecting of possible complications by monitoring the postpartum period within the range of 24 hours to the first week (less than 7 days) to 6 weeks postpartum, making timely referrals, integrating soft skills values by showing empathy and friendliness in providing care, as well as respecting local culture (Coast et al, 2014). One of the strategies implemented by the government to reduce Maternal Mortality Rate (MMR) is by improving the competency and quality of midwifery services provided by midwives (Nur et al, 2021;Palimbo et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Effect of the Implementation of the Postpartum Care Laboratory Skill Integrated Learning Model on Improving the Competence

Abdurrahman,

Mutiah,

Halimatussakdiah

2023

jppipa, pendidikan ipa, fisika, biologi, kimia

View full text Add to dashboard Cite

The conventional laboratory learning model has proven to be inadequate in improving competencies. Therefore, there is a need to develop a learning model that integrates the knowledge gained with the skills and attitudes required when providing care, namely an integrated laboratory skills learning model. The purpose of this study was to analyze the effect of the implementation of an integrated postpartum care laboratory skill learning model on improving the competencies of Diploma-3 midwifery students. This study adopted a quasi-experimental pretest-posttest nonequivalent control group design with 79 students divided into two groups: the intervention group consisting of 39 students from STIKes Indramayu and the control group consisting of 40 students from Poltekkes BPH Cirebon. The intervention group was given the integrated learning model, while the control group was given the conventional learning model. Data analysis was conducted using t-tests, Mann-Whitney tests, and chi-square tests with a significance level of p<0.05. The results showed that the pretest competencies of the intervention group were 33 (84.6%) who were not competent, while in the control group, 35 (87.5%) were not competent. There was an increase in competencies in the intervention group by 49% (0-887) and in the control group by 19.4% (0-50.9). Further analysis indicated a significant difference in competency improvement between the group given the integrated laboratory skills learning model and the group given the conventional laboratory skills learning model (p<0.05). The conventional laboratory skills learning model was a risk factor causing students to be incompetent with a relative risk of 1.64 (95% CI 1.15-2.35) and NNT 3.2. The Integrated model of laboratory skills has a positive impact on students’ skill elevation.

show abstract

Postpartum hemorrhage in maternal mothers at Anutapura Public Hospital in Palu, 2017

Cited by 2 publications

References 12 publications

Heat stable carbetocin or oxytocin for prevention of postpartum hemorrhage among women at risk: A secondary analysis of the CHAMPION trial

Heat stable carbetocin or oxytocin for prevention of postpartum hemorrhage among women at risk: A secondary analysis of the CHAMPION trial

Effect of the Implementation of the Postpartum Care Laboratory Skill Integrated Learning Model on Improving the Competence

Contact Info

Product

Resources

About