Prolonged second stage of labor and postpartum hemorrhage

被引：14

作者：

Lu, Michael C. ^{[1
,2
,3
]}

Muthengi, Eunice ^{[1
]}

Wakeel, Fathima ^{[1
]}

Fridman, Moshe ^{[4
]}

Korst, Lisa M. ^{[5
]}

Gregory, Kimberly D. ^{[1
,3
,6
,7
]}

机构：

[1] Univ Calif Los Angeles, Sch Publ Hlth, Dept Community Hlth Sci, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90095 USA

[3] Univ Calif Los Angeles, Sch Publ Hlth, Ctr Healthier Children Families & Communities, Los Angeles, CA 90095 USA

[4] AMF Consulting Inc, Los Angeles, CA USA

[5] Univ So Calif, Keck Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90033 USA

[6] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[7] Burns Allen Res Inst, Los Angeles, CA USA

来源：

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2009年 / 22卷 / 03期

关键词：

Hemorrhage; prolonged labor; quality; NEONATAL OUTCOMES; MORBIDITY; WOMEN;

D O I：

10.1080/14767050802676709

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective. To examine the relationship between prolonged second stage and postpartum hemorrhage (PPH). Methods. We conducted a retrospective case-control study of all cases of PPH which occurred at four Southern California hospitals in 2003. Cases were identified by ICD-9 codes and confirmed by chart reviews, and non-cases were randomly selected as controls. The relationship between PPH and prolonged second-stage was examined using bivariate and multivariate analyses. Results. The sample consisted of 91 cases and 323 controls. Cases were significantly more likely than controls to have had a prolonged second stage of labor, over a range of definitions for PPH and prolonged second stage. In multivariable analyses, prolonged second stage was associated with greater than three-fold (OR=3.35; 95% CI 1.22-9.19) increased risk for PPH. Conclusion. Prolonged second stage is an important risk factor for PPH. Close supervision is warranted for women with a prolonged second stage.

引用

页码：227 / 232

页数：6

共 16 条

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