Evaluation of postpartum shock index in hypertensive diseases of pregnancy: a case-control study from a tertiary reference center
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Melek Durak
,
Atakan Tanaçan
,
Özgür Kara
Abstract
Objectives
To compare the postpartum shock index (SI) values between pregnant women with hypertensive disease of pregnancy (HDP) and normotensive controls.
Methods
The present study was conducted in Ankara City Hospital Perinatology Clinic. Postpartum SI was compared between the pregnant women with HDP (n=217) and normotensive controls (n=219). A logistic regression analysis was performed to assess the independent predictors of maximum SI ≥1. Finally, a ROC analysis was performed to calculate optimal cut-off values for postpartum SI’s measured at different periods in the prediction of postpartum Hb (hemoglobin) decrease ≥2 g/dL.
Results
Peripartum SI (p<0.001), 15th min SI (p<0.001), 30th min SI (p<0.001), 2nd h SI (p<0.001), 6th h SI (p) of the HDP group (p<0.001) and max SI (p<0.001) values were found to be significantly lower in the study group. A weak positive and statistically significant correlation was found between the maximum SI and the decrease in Hb ≥2 g/dL (r=0.209; p=0.002). Optimal cutoff values for SI were; 0.7 at peripartum 0.7 at 15 min, 0.73 at 30 min, 0.6 at 2 h, and 0.7 at 6 h, respectively.
Conclusions
Clinically significant blood loss may develop at lower SI values in hypertensive pregnant women.
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Research ethics: The study protocol was approved by the Institutional Ethics Committee with reference number E2-21-773. Written informed consent was obtained from all participants. All patients and healthy volunteers included in the study were informed, and written and verbal informed consent was obtained.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: The authors state no conflict of interest.
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Research funding: None declared.
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Data availability: The raw data can be obtained on request from the corresponding author.
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Artikel in diesem Heft
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- Sensitivity of antenatal ultrasound in diagnosing posterior placenta accreta spectrum disorders
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- Original Articles – Fetus
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Artikel in diesem Heft
- Frontmatter
- Opinion Paper
- The importance of professional responsibility and fetal viability in the management of abortion
- Corner of Academy
- Multifetal pregnancy reductions and selective fetocide in a tertiary referral center – a retrospective cohort study
- Original Articles – Obstetrics
- Cervical length as a screening tool for preterm birth in twin pregnancies: a systematic review and critical evaluation of quality clinical practice guidelines
- Determinants of prematurity in urban Indonesia: a meta-analysis
- Predictors of planned home birth before and during the COVID-19 pandemic
- Sensitivity of antenatal ultrasound in diagnosing posterior placenta accreta spectrum disorders
- The prognostic role of CRL discordance in first trimester ultrasound
- Evaluation of postpartum shock index in hypertensive diseases of pregnancy: a case-control study from a tertiary reference center
- Original Articles – Fetus
- Prenatal diagnosis of right aortic arch: associated anomalies and fetal prognosis according to different subtypes
- Fetal brain development in pregnancies complicated by gestational diabetes mellitus
- The association between parental SARS-CoV-2 infection in pregnancy and fetal growth restriction
- Subclinical cardiac impairments in fetuses conceived through assisted reproductive technology by speckle tracking echocardiography
- Original Articles – Neonates
- Coagulation assessment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infected pregnant women and their offspring by using rotational thromboelastometry (ROTEM)
- Comprehensive appraisal of pregnancy and neonatal outcomes in singleton pregnancies conceived via in vitro fertilization in the USA (2016–2021)
- Influence of donor characteristics on the milk donation volume and microbiological quality of donated human milk in first 3 years of work of the Croatian human milk bank-retrospective observational study
