CLINICAL FEATURES IN PATIENTS WITH SEVERE POSTPARTUM HEMORRHAGE AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL
Main Article Content
Abstract
Objective: To describe the clinical characteristics of patients with severe postpartum hemorrhage at Hanoi Obstetrics and Gynecology Hospital. Methods: A prospective and retrospective descriptive study of 34 patients with severe postpartum hemorrhage at Hanoi Obstetrics and Gynecology Hospital (from April 2024 to August 2024). Results: The average age of the mothers was 34. Most patients had previously given birth, with the majority being at least on their third delivery and undergoing cesarean sections (85.5%). The most common causes of severe postpartum hemorrhage were placenta previa and placenta accreta, accounting for the highest percentage (79.4%). The systolic/diastolic blood pressure of the patients with severe postpartum hemorrhage was 90.7/52.6, and most patients had a heart rate exceeding 100 beats per minute. Seven patients (20.6%) exhibited oliguria, while one patient (2.9%) had anuria. The average blood loss in the study group was 2229.4 ml, with the highest blood loss recorded at 6000ml. Conclusion: The study indicates that most mothers with severe postpartum hemorrhage have placenta previa and placenta accreta, along with tachycardia and hypotension. Some mothers experienced oliguria and anuria due to significant blood loss.
Article Details
Keywords
clinical features, severe postpartum hemorrhage.
References
2. Abdul-Kadir R, McLintock C, Ducloy AS, et al. Evaluation and management of postpartum hemorrhage: consensus from an international expert panel. Transfusion. Jul 2014;54(7):1756-68. doi:10.1111/ trf. 12550
3. Escobar MF, Nassar AH, Theron G, et al. FIGO recommendations on the management of postpartum hemorrhage 2022. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. Mar 2022;157 Suppl 1(Suppl 1):3-50. doi:10.1002/ijgo.14116
4. Ánh ND. Một số yếu tố liên quan đến chảy máu 24 giờ sau đẻ đường âm đạo tại bệnh viện Phụ sản Hà Nội. Tạp chí y học Việt Nam. 2021;509(2):263-266.
5. Tâm VT. Ứng dụng xét nghiệm động học đông máu (ROTEM) trong chẩn đoán và điều trị rối loạn đông máu ở bệnh nhân chảy máu sau đẻ. Luận văn Thạc sĩ y học, Đại học y Hà Nội.2020
6. Haas T, Spielmann N, Mauch J, et al. Comparison of thromboelastometry (ROTEM®) with standard plasmatic coagulation testing in paediatric surgery. British Journal of Anaesthesia. 2012;108(1):36-41.
7. James A, Cooper DL, Paidas MJ. Hemostatic assessment, treatment strategies, and hematology consultation in massive postpartum hemorrhage: results of a quantitative survey of obstetrician- gynecologists. IJWH. Published online November 2015:873
8. Reed MJ, Nimmo AF, McGee D, et al. Rotational thrombolelastometry produces potentially clinical useful results within 10 min in bleeding emergency department patients: the DEUCE study. European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine. 2013;20(3):160-166.