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- W1969317755 abstract "The study aimed to identify obstetric risk factors for post partum hemorrhage (PPH), and to determine pregnancy outcome. A comparison between consecutive singleton deliveries with and without PPH was performed. Deliveries occurred during the years 1988-2002 in a tertiary medical center. A multiple logistic regression model was constructed in order to define independent risk factors for PPH. Postpartum hemorrhage complicated 0.4% (n = 666) of all deliveries enrolled in the study (n = 154,312). Significant risk factors for PPH, using a multivariable analysis, were failure to progress during the second stage of labor (OR = 3.4, 95% CI = 2.4-4.7), instrumental delivery (OR = 2.3, 95% CI 1.6-3.4), large for gestational age (LGA) newborn (OR = 1.9, 95% CI 1.6-2.4), hypertensive disorders (OR = 1.7, 95% CI 1.2-2.1), induction of labor (OR = 1.4 95% CI = 1.1-1.7) and augmentation of labor with oxytocin (OR = 1.4 95% CI = 1.2-1.7). A significant linear association was found, using the Mantel-Haenszel technique, between the severity of bleeding and the following risk factors: vacuum extraction, oxytocin augmentation of labor and hypertensive disorders (P < .001 for all variables). Hypertensive disorder, failure of progress during the second stage of labor, oxytocin augmentation, vacuum extraction and LGA were found to be major risk factors for severe PPH. Special attention should be given after birth to hypertensive patients, to patients who underwent induction of labor or instrumental delivery, as well as to those delivering a LGA newborn." @default.
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- W1969317755 date "2004-12-01" @default.
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- W1969317755 title "Obstetric risk factors and outcome of pregnancies complicated with postpartum hemorrhage" @default.
- W1969317755 doi "https://doi.org/10.1016/j.ajog.2004.10.573" @default.
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