Dube Rajani, Kar Subhranshu Sekhar, Satapathy Sanghamitra, George Biji Thomas, Garg Heena
Department of Obstetrics and Gynecology, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE.
Department of Pediatrics, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE.
Womens Health Rep (New Rochelle). 2025 Jan 8;6(1):37-42. doi: 10.1089/whr.2024.0103. eCollection 2025.
There is a need for signs that will help the midwives or the health care providers attending deliveries to prevent the patient from going into hypovolemic shock, especially when immediate testing is not possible. The study aims to find the correlation between the clinical symptoms and blood loss in women with postpartum hemorrhage.
It is a descriptive observational study conducted at the Department of Obstetrics and Gynecology, Maternity Hospitals. Women treated with either Misoprostol or Ergometrine during delivery were included in the study. Data were collected for Packed Cell Volume (PCV), Hemoglobin (Hb%), ; other investigations include general clinical condition, presence or absence of PPH, and amount of blood loss using laboratory reports.
The study has reported clinical findings and blood loss to identify the correlation between them. Only 4% of women suffered blood loss of more than 500 mL, postpartum hemorrhage (PPH) occurred among them. The change in Hb% among the majority of the women was ranging between 0-0.5 gm% (71.5%). Most cases (72.72%) had tachycardia followed by palpitation (10.90%). Blood loss exceeding 1500 mL was correlated with hypotension, restlessness, and oliguria.
Extra vigilance is needed to identify women at risk and facilitate early intervention and treatment of PPH.
需要有一些迹象来帮助助产士或参与分娩的医护人员预防患者发生低血容量性休克，尤其是在无法立即进行检测的情况下。本研究旨在找出产后出血女性的临床症状与失血量之间的相关性。
这是一项在妇产医院妇产科进行的描述性观察研究。在分娩期间接受米索前列醇或麦角新碱治疗的女性被纳入研究。收集了血细胞比容（PCV）、血红蛋白（Hb%）的数据；其他调查包括一般临床状况、是否存在产后出血以及使用实验室报告得出的失血量。
该研究报告了临床发现和失血量，以确定它们之间的相关性。只有4%的女性失血量超过500毫升，其中发生了产后出血（PPH）。大多数女性的Hb%变化范围在0 - 0.5克%之间（71.5%）。大多数病例（72.72%）有心动过速，其次是心悸（10.90%）。失血量超过1500毫升与低血压、烦躁不安和少尿相关。
需要格外警惕以识别有风险的女性，并促进对产后出血的早期干预和治疗。
