Relationship Between Maternal Characteristics and Postpartum Hemorrhage: A Meta-Analysis Study

Durmaz, Ayşegül; Kömürcü, Nuran

doi:10.1097/jnr.0000000000000245

Cited by 48 publications

(45 citation statements)

References 2 publications

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“…14,15 However, the study by Durmaz et al revealed that no relationship between maternal age ≥35 years old and PPH. 5 This study discovered that maternal age with the highest percentage was 20-35 years old (57.5%). Previous study by Driessen et al had the same result that the highest women with PPH is 20-35 years old.…”

Section: Discussionmentioning

confidence: 79%

“…Contrary to this study, the previous studies revealed that primiparity is one of risk factors for PPH. 5,16,18 About 69.45% of PPH occurred to the patient with gestational age 37-42 weeks (term pregnancy). This study showed the same result with two previous studies that found most of the women with PPH is in 37-42 weeks pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…PPH is most commonly observed in regions with inadequate access to health services, poor nutrition, and anemia. [5][6][7] Although the incidence of PPH tends to decrease years after years, it remains a big challenge in rural area with limited resources.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Postpartum Hemorrhage Patients in Raja Tombolotutu General Hospital, Parigi Moutong Sulawesi Tengah, Indonesia

Reswari¹,

Akbar²,

Achmad³

2019

Obgynia

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Method: A retrospective-descriptive study was conducted using a cross-sectional method and secondary data with total sampling technique from medical record of obstetric patients with postpartum hemorrhage in Raja Tombolotutu General Hospital, from May 2017 to April 2018. Result: From 72 cases of postpartum hemorrhage, patients' characteristics were age 20−35 years old (56.95%), multipara (45.84%), gestational age 37−42 weeks (69.45%), underwent vaginal delivery (93.05%), junior high school graduated (41.67%), housewife (59.72%), delivered in Primary Health Care (59.72%) and covered by Universal Health Coverage (58.33%). About 54.17% patients of postpartum hemorrhage have done 1−4 times for antenatal care visits. Majority etiology of the postpartum hemorrhage was retained placenta (61.11%). Conclusion: The major characteristics of postpartum hemorrhage patients are 20−35 years old, multipara, at term pregnancy, underwent vaginal delivery, junior high school graduated, and housewife. Most of them delivered in Primary Health Care and covered by Universal Health Coverage. Retained placenta is the main cause of postpartum hemorrhage. More than half of postpartum hemorrhage patients have done 1−4 times antenatal care visits.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Characteristics of Postpartum Hemorrhage Patients in Raja Tombolotutu General Hospital, Parigi Moutong Sulawesi Tengah, Indonesia

Reswari¹,

Akbar²,

Achmad³

2019

Obgynia

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“…However, Durmaz and Komurcu found no such relationship in their meta-analysis, which included includs five studies and 1,286,752 women. 3 In fact, Lao and colleagues also pointed that advanced maternal age only served as a surrogate factor for PPH due to the associated increased risk factors, obstetric complications and interventions. 4 Their multivariate analysis indicated that aging was actually associated with decreased PPH, the risk decreasing progressively from those aged 25-29 years to those aged ≥40 years compared with the 20-24 years group.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with increased blood loss during delivery

Jain

Thakur

Jain

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The present study was done to assess the blood loss during delivery even after active management of third stage of labor with oxytocin and the maternal outcomes of PPH.Methods: We studied 100 pregnant women were either in spontaneous labor or admitted for induction of labor, underwent vaginal delivery or caesarean section in our institute. Active management of third stage of labor in all 100 cases included 10 IU intramuscular oxytocin or 10 to 20 IU intravenous in 500 ml of Ringer’s Lactate. Blood loss in all cases was noted.Results: Of the included cases, 27 had to be given extra-uterotonics for atonic uterus, of which 12 parturient still had PPH. Atonic uterus was the cause of PPH in 11 of the 12 cases, while one case was of atonic uterus plus trauma. Half of all PPH cases responded to medical management alone, five cases had to undergo tamponade/stepwise devascularization and one case had to undergo obstetric hysterectomy. Blood loss was significantly higher in women aged more than 35 years, primigravida, not in labor, oligohydramnios or post-datism, elective LSCS, scarred uterus in and had more than 1 high risk factor. Among various high-risk conditions, significantly higher blood loss was observed in patients with chronic hypertension, gestational hypertension, pre-gestational diabetes mellitus, multipara with prior PPH, placenta previa, preeclampsia and sickle cell trait.Conclusions: Fifteen women avoided PPH by using a reliable method of blood loss measurement and initiating interventions early. Organized PPH management protocol morbidity and mortality of the mother and neonate can be prevented.

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“…3 Perdarahan postpartum adalah penyebab utama kematian ibu di Negara dengan penghasilan ekonomi yang rendah dan penyebab utama satu dari setiap empat kematian ibu di seluruh dunia. 4 Salah satu upaya proses kehamilan dan persalinan dapat berjalan lancar dan tanpa ada komplikasi dan penyullit. Ibu hamil di anjurkan agar melaksanakan senam selama kehamilan sebagai upaya preventif agar kehamilan dan persalinan berjalan secara alami dan mengurangi resiko cidera akibat persalinan.…”

Section: Pendahuluanunclassified

Perbedaan Jumlah Perdarahan Saat Persalinan Pada Ibu Primigravida Yang Melakukan Dan Tidak Melakukan Senam Hamil Selama Kehamilan Trimester III

Herayono¹,

Basyir²,

Afriwardi

2019

JKA

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AbstrakAngka Kematian Ibu (AKI) masih cukup tinggi di Indonesia, karena disebabkan oleh perdarahan, eklamsi dan infeksi. American College of Obstetricans and Gynecologist merekomendasikan senam selama kehamilan agar persalinan lancar dan mengurangi komplikasi saat persalinan. Tujuan penelitian adalah menentukan perbedaan antara jumlah perdarahan saat persalinan pada Ibu primigravida yang melakukan dan tidak melakukan senam hamil selama kehamilan trimester III. Jenis penelitian adalah rancangan comparative study. Penelitian dilaksanakan di wilayah kerja Puskesmas Andalas dan Lubuk Buaya dari Oktober 2018 sampai Januari 2019. Jumlah sampel adalah 44 orang di bagi menjadi 2 kelompok, yaitu pertama 22 orang ibu yang melakukan senam hamil dan 22 orang ibu yang tidak melakukan senam hamil. Pengambilan sampel dengan consecutive sampling. Analisis data menggunakan system komputerisasi dengan uji independent t-test. Hasil penelitian didapatkan rerata jumlah perdarahan pada ibu yang senam hamil 489,18 cc dan pada ibu yang tidak senam hamil 501,86 cc. Tidak terdapat perbedaan jumlah perdarahan pada ibu yang melakukan dan tidak melakukan senam hamil dengan nilai (p=0,786). Kata kunci: jumlah perdarahan, senam hamil, primigravida AbstractThe maternal mortality rate is high in Indonesia, that is caused by bleeding, eclampsia and infection. The American College of Obstetricans and Gynecologists recommend gymnastics during pregnancy so that labor is smooth and reduces complications during labor. The objective of the study was to determine the differences number of bleeding at delivery between primigravida who did pregnancy exercise and did not during the third trimester of pregnancy.The type of this research was a comparative study design. The study was conducted in the working area of Andalas and Lubuk Buaya Puskesmas from October 2018 until January 2019. The number of samples were forty four people, divided into two groups; twenty two mothers who did pregnancy exercises and twenty two mothers who did not do pregnancy exercises. Sampling by consecutive sampling. Data analysis using a computerized system with independent t-test.The average number of bleeding in mothers who exercise 489.18 cc and mothers who are not pregnant exercise 501.86 cc. There is no difference in the number of bleeding (p = 0.786).

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Relationship Between Maternal Characteristics and Postpartum Hemorrhage: A Meta-Analysis Study

Cited by 48 publications

References 2 publications

Characteristics of Postpartum Hemorrhage Patients in Raja Tombolotutu General Hospital, Parigi Moutong Sulawesi Tengah, Indonesia

Characteristics of Postpartum Hemorrhage Patients in Raja Tombolotutu General Hospital, Parigi Moutong Sulawesi Tengah, Indonesia

Factors associated with increased blood loss during delivery

Perbedaan Jumlah Perdarahan Saat Persalinan Pada Ibu Primigravida Yang Melakukan Dan Tidak Melakukan Senam Hamil Selama Kehamilan Trimester III

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