Evidence map›Paper›PMID 33298992›Full record

ArticleScientific reports2020

Hemoglobin drop following postpartum hemorrhage.

Enav Yefet, Avishag Yossef, Abeer Suleiman, Aliza Hatokay, Zohar Nachum

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Effect of delayed versus immediate umbilical cord clamping in vaginal delivery at term: A randomized clinical trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
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  6. Agnostic identification of plasma biomarkers for postpartum hemorrhage risk.American journal of obstetrics and gynecology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Enav YefetDepartment of Obstetrics and Gynecology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula, 1834111, Israel. enavy1@gmail.com.
Avishag YossefDepartment of Obstetrics and Gynecology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula, 1834111, Israel.
Abeer SuleimanDepartment of Obstetrics and Gynecology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula, 1834111, Israel.
Aliza HatokayDepartment of Obstetrics and Gynecology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula, 1834111, Israel.
Zohar NachumDepartment of Obstetrics and Gynecology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula, 1834111, Israel.
Emek Medical Center · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postpartum hemorrhage (PPH) is defined as blood loss of ≥ 500-1000 ml within 24 h after delivery. Yet, assessment of blood loss is imprecise. The present study aimed to profile the hemoglobin (Hb) drop after vaginal delivery with versus without PPH. This was a secondary analysis of a prospective cohort study of women who delivered vaginally. Women were included if complete blood counts (CBC) before and after delivery were taken until stabilization (N = 419). Women were categorized into the PPH group and controls, for whom post-delivery CBCs were performed due to indications unrelated to bleeding. The PPH patients were then classified as either overt or occult PPH (symptoms related to hypovolemia without overt bleeding) subgroups. The primary endpoint was mean Hb drop after delivery. One hundred and ten (26%) and 158 (38%) women presented with overt PPH or occult PPH, respectively; 151 (36%) women were included in the control group. Mean Hb decrease from baseline was 3.0 ± 1.6, 2.0 ± 1.4 and 0.9 ± 1.0 g/dl, respectively (p < 0.0001). In all groups, maximal rate of Hb decline was in the first 6-12 h postpartum and plateaued after 24-48 h. At 48 h post-delivery, 95% and 86% of women who had dropped to Hb ≤ 9.5 and < 7 g/dl, respectively, reached those thresholds. Taken together, an Hb decrease ≥ 2 g/dl was consistent with PPH diagnosis and should be followed for at least 48 h after delivery.

Indexed as

Delivery, ObstetricAdultBlood Cell CountFemaleHemoglobinsHumansPostpartum HemorrhageProspective StudiesYoung AdultHemoglobins

Identifiers

PMID33298992
PMCPMC7725815
OpenAlexW3112524299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.