Review
Public, Environmental & Occupational Health
Mariana Torreglosa Ruiz, Nayara Freitas Azevedo, Maria Beatriz Guimaraes Raponi, Luciana Mara Monti Fonseca, Monika Wernet, Maria Paula Custodio Silva, Divanice Contim
Summary: This review examines the evidence on the effects of skin-to-skin contact during the third stage of labor for postpartum hemorrhage prevention. The results show that skin-to-skin contact is effective in reducing postpartum hemorrhage, shortening the third stage of labor, promoting uterine contractility and involution, and reducing the need for synthetic oxytocin and/or ergometrine.
MATERNAL AND CHILD HEALTH JOURNAL
(2023)
Article
Obstetrics & Gynecology
Nazi Karimi, Ghazaleh Molaee, Najimeh Tarkesh Esfahani, Ali Montazeri
Summary: This study aimed to assess the effect of placental cord drainage on the duration of the third stage of labor and its impact on postpartum hemorrhage and related complications. The results showed that placental cord drainage significantly reduced the duration of the third stage and decreased the occurrence of postpartum complications.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Biochemistry & Molecular Biology
Marcin Januszewski, Malgorzata Santor-Zaczynska, Laura Ziuzia-Januszewska, Michal Kudan, Alicja A. Jakimiuk, Waldemar Wierzba, Artur J. Jakimiuk
Summary: This study compared the blood loss and frequency of obstetric hemorrhage among pregnant women with and without COVID-19 infection. The analysis revealed that COVID-19 deliveries were associated with a higher risk of postpartum hemorrhage.
Article
Obstetrics & Gynecology
Elise N. Erickson, Kathleen M. Krol, Allison M. Perkeybile, Jessica J. Connelly, Leslie Myatt
Summary: This study found evidence of a risk allele in the oxytocin receptor gene that may be involved in the development of postpartum hemorrhage among individuals undergoing vaginal birth. A-carriers had a higher risk of bleeding and needing second-line treatment. These findings could be useful in pharmacogenomic strategies for predicting, preventing, or treating postpartum hemorrhage.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Anna Sorsjo Stevenazzi, Sofia Pihl, Marie Blomberg, Daniel Axelsson
Summary: This study found no association between the vitamin D status of women at the time of delivery and postpartum hemorrhage, including atonic hemorrhage.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Nursing
Yasemin Aydin Kartal, Leyla Kaya, Saadet Yazici, Betul Engin, Resul Karakus
Summary: This study suggests that skin-to-skin contact during the third stage of labor can reduce postpartum hemorrhage and have beneficial effects on postpartum pain and bleeding.
NURSING & HEALTH SCIENCES
(2022)
Article
Obstetrics & Gynecology
Judy Slome Cohain
Summary: This study demonstrates the effectiveness of implementing the squatting protocol in preventing postpartum hemorrhage in vaginal births. The protocol, requiring only 2 minutes of squatting, significantly reduces blood loss.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2022)
Article
Obstetrics & Gynecology
Takafumi Ushida, Seiko Matsuo, Noriyuki Nakamura, Yukako Iitani, Kenji Imai, Tomoko Nakano-Kobayashi, Shigeru Yoshida, Mamoru Yamashita, Hiroaki Kajiyama, Tomomi Kotani
Summary: This study aimed to reassess the normal duration of each stage of labor in a contemporary Japanese cohort and determine its impact on the rate of postpartum hemorrhage (PPH) in vaginal deliveries. The results showed that the reference range of each stage of labor was shorter than previously reported. Prolonged second and third stages of labor were associated with an increased risk of PPH, while prolonged first stage did not increase the risk. The prolonged third stage of labor was found to be a more significant contributing factor to PPH than the prolonged first or second stages.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Yuefang Zhou, Chunping Yang
Summary: Midwifery care is effective for elderly parturients, with significant improvements in spontaneous vaginal delivery rate, shortened duration of labor, reduced incidence of postpartum hemorrhage and neonatal asphyxia, as well as relief of labor pain, anxiety, and depression, and increased satisfaction of parturients.
IRANIAN JOURNAL OF PUBLIC HEALTH
(2021)
Article
Obstetrics & Gynecology
Andre Vieira Lanza, Melania Maria Amorim, Mayara Ferreira, Claudia Menezes Cavalcante, Leila Katz
Summary: This study analyzed the clinical characteristics, management, maternal outcomes, and factors associated with severe maternal outcomes (SMO) in postpartum women with postpartum hemorrhage (PPH) who were admitted to an obstetric intensive care unit (ICU) in northeastern Brazil. The results showed that 37.9% of the PPH patients experienced SMO, 34.9% experienced maternal near miss (MNM), and 3.0% experienced maternal death. Multiple logistic regression analysis revealed that having two or more previous deliveries, gestational age less than 34 weeks, and delivering elsewhere were significantly associated with SMO.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Obstetrics & Gynecology
Keiko Nishida, Toshimi Sairenchi, Koji Uchiyama, Yasuo Haruyama, Mariko Watanabe, Hiromi Hamada, Toyomi Satoh, Susumu Miyashita, Ichio Fukasawa, Gen Kobashi
Summary: The study suggests that poor uterine contractility during labor could be a significant predisposing risk factor for postpartum hemorrhage among low-risk women. Abnormal labor patterns and the use of uterotonics were associated with an increased risk of postpartum hemorrhage.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Obstetrics & Gynecology
Avital Wertheimer, Sharon Melamed, Eran Ashwal, Onit Sapir, Galia Oron, Avi Ben-Haroush, Tzippy Shochat, Arnon Wiznitzer, Yoel Shufaro
Summary: Pregnancies conceived by in vitro fertilization (IVF) are associated with a higher prevalence of complications in the third stage of labor, including postpartum hemorrhage, manual removal of the placenta, and blood transfusion. Therefore, women who give birth vaginally following IVF pregnancy should be managed differently to anticipate and prevent complications in the third stage, even in the absence of other risk factors.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Eran Ashwal, Uri Amikam, Avital Wertheimer, Eran Hadar, Emmanuel Attali, Dikla B. A. Dayan, Amir Aviram, Yariv Yogev, Liran Hiersch
Summary: Different regimens of postpartum oxytocin administration did not show significant differences in hematological measurements, and the postpartum Hb and Hct decline after vaginal deliveries was minor.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2022)
Review
Obstetrics & Gynecology
Jerome J. Federspiel, Ahizechukwu C. Eke, Catherine S. Eppes
Summary: Postpartum hemorrhage is a major cause of maternal morbidity and mortality in the United States. Opportunities for improvement in postpartum hemorrhage management include delays in recognizing and responding to hemorrhage. Comprehensive and interdisciplinary approaches to care have been found to improve patient outcomes and reduce racial disparities. Implementation of stage-based hemorrhage protocols can help reduce delays and avoid cognitive biases, but evidence regarding the effectiveness of quality metrics for adherence to postpartum hemorrhage bundles is limited.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Nursing
Hanne Lonstrup Graugaard, Rikke Damkjaer Maimburg
Summary: Severe postpartum hemorrhage was not associated with maternal age, smoking during pregnancy, or prepregnancy body mass index. However, nulliparous and multiparous women with a previous cesarean birth, gestational age >40 weeks, induction of labor, augmentation of labor, irregular fetal position, instrumental birth, and birthweight >4000 g were identified as risk factors. The combination of induction and augmentation of labor doubled the risk of severe PPH, while larger vaginal tears presented the highest risk. Proper management of these risk factors may help reduce the occurrence of severe PPH.
BIRTH-ISSUES IN PERINATAL CARE
(2021)
