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

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dc.creatorRaíssa Isabelle Leãomartins
dc.creatorJussara de Souza Mayrink Novais
dc.creatorZilma Silveira Nogueira Reis
dc.date.accessioned2025-07-03T22:33:21Z
dc.date.accessioned2025-09-09T01:08:12Z
dc.date.available2025-07-03T22:33:21Z
dc.date.issued2024
dc.format.mimetypepdf
dc.identifier.doi10.61622/rbgo/2024AO14
dc.identifier.issn01007203
dc.identifier.urihttps://hdl.handle.net/1843/83328
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetrícia
dc.rightsAcesso Aberto
dc.subjectPostpartum Hemorrhage
dc.subjectPuerperal Disorders
dc.subjectMaternal Mortality
dc.subjectRisk Factors
dc.subjectElectronic Health Records
dc.subject.otherPostpartum Hemorrhage
dc.subject.otherMaternal Mortality
dc.subject.otherPuerperal Disorders
dc.subject.otherRisk Factors
dc.subject.otherElectronic Health Records
dc.titlePostpartum hemorrhage in electronic health records: risk factors at admission and in-hospital occurrence
dc.typeArtigo de periódico
local.citation.epage7
local.citation.issuerbgo14.
local.citation.spage1
local.citation.volume46
local.description.resumoObjective: 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.scielo.br/j/rbgo/a/D6HkKWQqcRNv5wVdLjQgbJC/?format=pdf

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