Evidence map›Paper›PMID 38178057›Full record

ArticleBMC pregnancy and childbirth2024

Abnormal obstetric shock index and associated factors among immediate postpartum women following vaginal delivery at a tertiary hospital in southwestern Uganda.

David Collins Agaba, Henry Mark Lugobe, Richard Migisha, Mark Jjuuko, Pascal Saturday, Dean Kisombo, Subira Mlangwa Atupele, Justus Kirabira, Matthew Tumusiime, Godfrey Katamba and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
4.4field-weighted citation impact, top 7% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
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

14 authors at 3 institutions in 1 country.

David Collins AgabaDepartment of Physiology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda. acollins@must.ac.ug.
Henry Mark LugobeDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Richard MigishaDepartment of Physiology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Mark JjuukoDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Pascal SaturdayDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Dean KisomboDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Subira Mlangwa AtupeleDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Justus KirabiraDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Matthew TumusiimeDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Godfrey KatambaDepartment of Physiology, King Ceasor University, P.O Box 88, Kampala, Uganda.
Godfrey MugyenyiDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Sezalio MasembeDepartment of Obstetrics & Gynaecology, Kabale University, P.O Box 317, Kabale, Southwestern, Uganda.
Musa KayondoDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Joseph NgonziDepartment of Obstetrics & Gynaecology, Mbarara University of Science & Technology, P.O Box 1410, Mbarara, Southwestern, Uganda.
Mbarara University of Science and Technology · UGKabale University · UGSt. Augustine International University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly recognition of haemodynamic instability after birth and prompt interventions are necessary to reduce adverse maternal outcomes due to postpartum haemorrhage. Obstetric shock Index (OSI) has been recommended as a simple, accurate, reliable, and low-cost early diagnostic measure that identifies hemodynamically unstable women.

objectivesWe determined the prevalence of abnormal obstetric shock index and associated factors among women in the immediate postpartum period following vaginal delivery at Mbarara Regional Referral Hospital (MRRH) in southwestern Uganda.

methodsWe conducted a cross-sectional study at the labour suite and postnatal ward of MRRH from January 2022 to April 2022. We systematically sampled women who had delivered vaginally, and measured their blood pressures and pulse rates at 1 h postpartum. We excluded mothers with hypertensive disorders of pregnancy. Sociodemographic, medical and obstetric data were obtained through interviewer-administered questionnaires. The prevalence of abnormal OSI was the proportion of participants with an OSI ≥ 0.9 (calculated as the pulse rate divided by the systolic BP). Logistic regression analysis was used to determine associations between abnormal OSI and independent variables.

resultsWe enrolled 427 women with a mean age of 25.66 ± 5.30 years. Of these, 83 (19.44%), 95% CI (15.79-23.52) had an abnormal obstetric shock index. Being referred [aPR 1.94, 95% CI (1.31-2.88), p = 0.001], having had antepartum haemorrhage [aPR 2.63, 95% CI (1.26-5.73), p = 0.010] and having a visually estimated blood loss > 200 mls [aPR 1.59, 95% CI (1.08-2.33), p = 0.018] were significantly associated with abnormal OSI.

conclusionApproximately one in every five women who delivered vaginally at MRRH during the study period had an abnormal OSI. We recommend that clinicians have a high index of suspicion for haemodynamic instability among women in the immediate postpartum period. Mothers who are referred in from other facilities, those that get antepartum haemorrhage and those with estimated blood loss > 200mls should be prioritized for close monitoring. It should be noted that the study was not powered to study the factors associated with AOSI and therefore the analysis for factors associated should be considered exploratory.

Indexed as

Obstetric Labor ComplicationsPostpartum HemorrhageShockAdultCross-Sectional StudiesDelivery, ObstetricFemaleHumansPostpartum PeriodPregnancyTertiary Care CentersUgandaYoung AdultObstetric shock indexPostpartum periodPregnancyPrevalenceUganda

Identifiers

PMID38178057
PMCPMC10768342
OpenAlexW4390588459

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.