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Published on: January 26, 2024
[Association between hypertensive disorders and postpartum hemorrhage]
Mariana Torreglosa Ruiz1, Camila Torres Azevedo1, Maria Beatriz Guimarães Ferreira2
1Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brasil.
Primiparous women without hypertensive disorders showed a higher likelihood of experiencing postpartum hemorrhage (PPH). This study examined hemoglobin and hematocrit levels to understand this association.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Clinical Research
Context:
- Postpartum hemorrhage (PPH) remains a significant cause of maternal morbidity and mortality worldwide.
- Hypertensive disorders are common during pregnancy and can impact maternal outcomes.
- Understanding risk factors for PPH is crucial for improving obstetric care.
Purpose:
- To investigate the association between hypertensive disorders and postpartum hemorrhage (PPH).
- To measure hemoglobin (Hb) and hematocrit (Ht) levels in relation to PPH.
- To identify factors influencing PPH in primiparous women.
Summary:
- A cross-sectional study of 100 primiparous women in Sao Paulo analyzed Hb and Ht levels to define PPH (≥10% drop in Ht).
- Hypertensive disorders were common, and a positive correlation existed between Hb/Ht drop and these disorders.
- No direct association was found between hypertensive disorders and PPH, but primiparous women without hypertension were more prone to PPH.
Impact:
- Findings suggest that hypertensive disorders may not be a direct risk factor for PPH in this population.
- Highlights the need for further research into the complex etiology of PPH.
- Informs clinical practice regarding risk assessment and management of PPH in primiparous women.
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