Evidence map›Paper›PMID 38994461›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2024

The profile of patients with postpartum hemorrhage admitted to the obstetric intensive care: a cross-sectional study.

Mayara Dos Santos Farias Ferreira Silva, Melania Maria Ramos de Amorim, Brena Melo, André Vieira Lanza, Maria Eduarda Trigueiro Ramos, Bruna Antunes Durães de Carvalho, Natalia Nunes Tenório, Leila Katz

Abstract read
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In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Mayara Dos Santos Farias Ferreira SilvaInstituto de Medicina Integral Prof. Fernando Figueira RecifePE Brazil Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.ORCID https://orcid.org/0000-0002-6802-2594
Melania Maria Ramos de AmorimInstituto de Medicina Integral Prof. Fernando Figueira RecifePE Brazil Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.ORCID https://orcid.org/0000-0003-1047-2514
Brena MeloInstituto de Medicina Integral Prof. Fernando Figueira RecifePE Brazil Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.ORCID https://orcid.org/0000-0002-7671-2122
André Vieira LanzaInstituto de Medicina Integral Prof. Fernando Figueira RecifePE Brazil Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.ORCID https://orcid.org/0000-0001-5959-9765
Maria Eduarda Trigueiro RamosFaculdade Pernambucana de Saúde RecifePE Brazil Faculdade Pernambucana de Saúde, Recife, PE, Brazil.ORCID https://orcid.org/0009-0001-5385-2798
Bruna Antunes Durães de CarvalhoFaculdade Pernambucana de Saúde RecifePE Brazil Faculdade Pernambucana de Saúde, Recife, PE, Brazil.ORCID https://orcid.org/0009-0005-7050-2131
Natalia Nunes TenórioFaculdade Pernambucana de Saúde RecifePE Brazil Faculdade Pernambucana de Saúde, Recife, PE, Brazil.ORCID https://orcid.org/0009-0008-7800-1552
Leila KatzInstituto de Medicina Integral Prof. Fernando Figueira RecifePE Brazil Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.ORCID https://orcid.org/0000-0001-9854-7917

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In Brazil, postpartum hemorrhage (PPH) is a major cause of maternal morbidity and mortality. Data on the profile of women and risk factors associated with PPH are sparse. This study aimed to describe the profile and management of patients with PPH, and the association of risk factors for PPH with severe maternal outcomes (SMO). Methods: A cross-sectional study was conducted in Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) obstetric intensive care unit (ICU) between January 2012 and March 2020, including patients who gave birth at the hospital and that were admitted with PPH to the ICU. Results: The study included 358 patients, of whom 245 (68.4%) delivered in the IMIP maternity, and 113 (31.6%) in other maternity. The mean age of the patients was 26.7 years, with up to eight years of education (46.1%) and a mean of six prenatal care. Uterine atony (72.9%) was the most common cause, 1.6% estimated blood loss, 2% calculated shock index (SI), 63.9% of patients received hemotransfusion, and 27% underwent hysterectomy. 136 cases of SMO were identified, 35.5% were classified as maternal near miss and 3.0% maternal deaths. Multiparity was associated with SMO as an antepartum risk factor (RR=1.83, 95% CI1.42-2.36). Regarding intrapartum risk factors, abruptio placentae abruption was associated with SMO (RR=2.2 95% CI1.75-2.81). Among those who had hypertension (49.6%) there was a lower risk of developing SMO. Conclusion: The principal factors associated with poor maternal outcome were being multiparous and placental abruption.

Indexed as

Postpartum HemorrhageAbruptio PlacentaeAdultBrazilCross-Sectional StudiesFemaleHumansIntensive Care UnitsMaternal MortalityPregnancyRisk FactorsYoung AdultIntensive care unitsMaternal mortalityPostpartum hemorrhagePregnancy

Identifiers

PMID38994461
PMCPMC11239208

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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.