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Objective: To determine whether laboratory tests can contribute to the definition of postpartum hemorrhage.
Methodology: The study included 49 patients with postpartum haemorrhage above normal limits due to postpartum uterine atony and 57 healthy women without postpartum haemorrhage (bleeding within normal limits after delivery) in Obstetrics and Pediatrics Hospital in the Adana hospital in the 11month period between January and November 2019.
Results: The rate of the haemoglobin level below 8 g/dl was significantly higher in the group with postpartum atony (p<0.001). The mean PDW(Platelet Distribution Width) (p<0.001) and neutrophil / lymphocyte ratio (NLR) (p<0.001) were significantly higher in the patient group with atony compared to the control group. In the ROCanalyses performed, the threshold value for PDW, which was 18.85, was found to have a sensitivity of 86.3% and a specificity of 98.2% for the development of postpartum atony (AUC: 0.912; p<0.001; LB: 0.847; UB: 0.977; CI 95%).
Conclusion: Our study data showed that among the laboratory findings, especially PDW, haemoglobin and NLR levels are important information providers in predicting postpartum uterine atony and excessive bleeding afterward. Also, it was seen that the threshold value determined as 18.15 for PDW can be used as a reliable marker with high sensitivity (86.3%) and specificity (98.2%) in predicting excessive postpartum haemorrhage.
Irem Yengel, Senih Karaman, Sibel Yazan. (2020) Can the Laboratory Results Contribute in the Predıct of Postpartum Haemorrhage, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-4.
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