The association between preterm delivery and postpartum bleeding in otherwise uncomplicated pregnancies

• DOI: 10.4274/jtgga.galenos.2022.2021-11-7
• Publication Date: 2022-07-04T13:58:25Z
• Authors: Ümran Kılınçdemir...; Esra Nur Tola; Mekin Sezik
• Keywords: Chorioamnionitis

Objective: The primary aim was to investigate whether preterm delivery an independent risk factor for blood or products transfusion in the intrapartum postpartum period, considered as a proxy severe obstetric bleeding. Material and Methods:Throughout 9-month-period, 216 uncomplicated singleton deliveries were included cross-sectional study after exclusion of maternal fetal morbidity, such chorioamnionitis, use medications including tocolytics.Maternal neonatal data evaluated compared across (between 24 0/7-36 6/7 weeks' gestation) term 37 0/7-41 deliveries.Primary secondary outcomes requirement until discharge change hemoglobin value hematocrit from baseline hour 6, respectively.Logistic regression models constructed evaluate effect on outcome.Results: There 90 (41.7%) with overall cesarean section rate 77.8%.Preterm not outcome, when route delivery, body-mass index, antenatal steroid administration, (admission) platelet leukocyte counts controlled [adjusted ratio, 2.46; 95% confidence interval (CI), 0.69-8.77;p=0.16].Subgroup analysis, deliveries, revealed similar result (adjusted 1.65; CI, p=0.47).Secondary outcomes, decrease mean percent values measurements, also groups, both vaginal (for all comparisons, p>0.05). Conclusion:Preterm is independently associated increased transfusions decreased following otherwise singletons.(