A prospective cohort study of shock index as a reliable marker to predict the patient's need for blood transfusion due to postpartum hemorrhage | [Pakistan Journal of Medical Sciences • 2021]

Author(s):

1. Suleyman Cemil Oglak: Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.

2. Mehmet Obut: Department of Obstetrics and Gynecology, Etlik Zubeyde Hanım Women’s Health Training and Research Hospital, Ankara, Turkey.

3. Ali Emre Tahaoglu: Department of Obstetrics and Gynecology, Memorial Dicle Hospital, Diyarbakır, Turkey.

4. Neslihan Ugur Demirel: Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.

5. Bekir Kahveci: Department of Obstetrics and Gynecology, Cukurova University School of Medicine, Adana, Turkey.

6. Ihsan Bagli: Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.

Abstract:

Objective: This study was aimed to compare the shock index (SI) values between patients who required blood transfusion due to postpartum hemorrhage (PPH) and patients who received no blood transfusion. Methods: We conducted this cross-sectional study at a tertiary center between January 2019 and June 2019. A total of 2534 patients who underwent vaginal delivery were included in this study. We measured SI values upon admission, 30 minutes, 1-hour, and 2-hours after delivery. We identified women who required blood transfusion as the study group. Control patients who delivered in the same period and received no blood transfusion were identified in the medical record system and randomly selected. Age, parity, BMI, and SI values at each one prepartum and three postpartum periods of the groups were analyzed. Results: A total of 2534 patients were included in the study. A varying amount of blood transfusion was performed in 54 patients (2.13%). When we compared with patients who did not receive blood transfusion after delivery, patients who received any amount of blood transfusion after vaginal delivery had significantly higher SI values 30 minutes after delivery (0.99±0.20, and 085±0.11, p=0.0001), at 1-hour (1.00±0.18, and 0.85±0.11, p=0.0001), and 2-hours (1.09±0.16, and 0.87±0.11, p=0.0001). Conclusion: SI value could be a reliable and consistent marker to predict the requirement for any amount of blood transfusion due to PPH.

Page(s): 863-868

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 37, Issue: 3, Year: 2021

Keywords:

Postpartum Hemorrhage , Vaginal delivery , Shock index

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views