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Risk factors for post-partum hemorrhage following vacuum assisted vaginal delivery

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To identify risk factors for post-partum hemorrhage (PPH) following vacuum assisted vaginal delivery (VAVD).

Study design

A retrospective study of all women with singleton pregnancies who underwent VAVD in a tertiary hospital (2012–2014). PPH was defined as any of the following: ≥500 ml estimated blood loss, hemoglobin drop ≥3 g/dl (difference between pre- and post-VAVD hemoglobin levels) or the need for blood products transfusion. Characteristics of women with PPH following VAVD were compared to those of women with no PPH following VAVD.

Results

Of 1,154 VAVDs, 295 (25.6 %) had PPH. Women in the PPH group were more often nulliparous (83.1 vs. 70.5 %, p = 0.001) and had higher rate of hypertensive disorders (4.4 vs. 1.4 %, p = 0.001). The rate of episiotomy (87.8 vs. 81.6 %, p = 0.01) was higher in the PPH group. In multivariate analysis, risk factors for PPH were (Odds Ratio, 95 % Confidence Interval) hypertensive disorders (2.40, 1.03–5.58, p = 0.04), induction of labor (1.42, 1.01–2.10, p = 0.04) and longer second (1.003, 1.001–1.006, p = 0.03) and 3rd (1.02, 1.01–1.04, p = 0.004) stages of labor.

Conclusion

Risk factors for PPH following VAVD can be identified and should be taken into consideration at the immediate post-partum period.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, 49100, Petach Tikva, Israel

    Liran Hiersch, Riki Bergel-Bson, Dorit Asher, Amir Aviram & Rinat Gabby-Benziv

  2. Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel

    Yariv Yogev & Eran Ashwal

  3. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Liran Hiersch, Riki Bergel-Bson, Dorit Asher, Amir Aviram, Rinat Gabby-Benziv, Yariv Yogev & Eran Ashwal

Authors
  1. Liran Hiersch
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  2. Riki Bergel-Bson
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  3. Dorit Asher
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  5. Rinat Gabby-Benziv
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  6. Yariv Yogev
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Correspondence to Liran Hiersch.

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This study was not funded.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The local institutional review board (IRB) approved the study.

Conflict of interest

All authors declare that we have no conflict of interest.

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Hiersch, L., Bergel-Bson, R., Asher, D. et al. Risk factors for post-partum hemorrhage following vacuum assisted vaginal delivery. Arch Gynecol Obstet 295, 75–80 (2017). https://doi.org/10.1007/s00404-016-4208-5

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  • DOI: https://doi.org/10.1007/s00404-016-4208-5

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