The present study aims to determine the relationship between postpartum changes in the shock index and the severity of blood loss and other PPH results. Blood loss, heart rate and blood pressure will be systematically measured in the postpartum period in all participating women to explore new clinical indicators to identify those requiring clinical intervention for excessive bleeding.
Study Type
OBSERVATIONAL
Enrollment
298
Women who have vaginal births are observed for a minimum of 1 hour postpartum
Fundación Valle del Lili
Cali, Colombia
Correlation between blood loss and shock index
Correlate shock index, heart rate, and blood pressure measurements with blood loss levels at 15, 30, 45 \& 60 minutes
Time frame: Within 1 hour postpartum
Percentage of women with blood loss ≥ 500 ml and ≥ 1000 ml
Proportions with ≥ 500 ml and ≥ 1000 ml blood loss at 30 and 60 minutes postpartum, at PPH diagnosis (if applicable), and when active bleeding stops
Time frame: Up to two hours postpartum
Median blood loss in the postpartum and interquartile range
Blood loss at 30 and 60 minutes postpartum, at PPH diagnosis (if applicable), and when active bleeding stops
Time frame: Up to two hours postpartum
Percentage of women who received treatment to control bleeding
Time frame: Up to two hours postpartum
Average change in Hb measured before and after delivery
Among women receiving treatment to control postpartum hemorrhage
Time frame: Pre-delivery and at least 24 hours postpartum
Percentage of women with complications
Among women receiving treatment to control postpartum hemorrhage
Time frame: Through study completion, an average of 24-48 hours postpartum
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