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dc.contributor.authorZanini, A-
dc.contributor.authorInzoli, A-
dc.contributor.authorAndreotti, C-
dc.contributor.authorMiglietta, M-
dc.contributor.authorMingozzi, S-
dc.contributor.authorArmitano, F-
dc.contributor.authorRezzonico, E-
dc.identifier.citationMinerva Obstet Gynecol. 2023 Jun;75(3):213-218. doi: 10.23736/S2724-606X.22.04987-9. Epub 2022 Feb 11.-
dc.description.abstractBACKGROUND: Post-partum hemorrhage continues to be a leading cause of maternal mortality and morbidity. The aim of this study was to estimate the prevalence of major hemorrhage, near-miss cases and substandard care in a I level hospital. METHODS: We conducted a retrospective cohort study of pregnant women between 2003 and 2018 who had a blood loss ≥1500 mL or who required one or more blood transfusions. We assessed near-miss cases and substandard care. RESULTS: Over the 16 years, there were 14,523 births: 156 women (1.07%) had a blood loss ≥1500 mL or required one or more blood transfusions. There were 16 near-miss cases and no maternal deaths. Twenty-three cases required transfer to the Intensive Care Unit (11.5%), in 3.5% of non near-miss cases and in 81.2% of near-miss cases (P<0.001). We identified substandard care in 36.4% of low risk women, and in 62.5% of near-miss cases (P=0.04). CONCLUSIONS: After dividing the cases in a first period (2003-2010) and a second period (2011-2018), we highlighted 11.6% near-miss cases in the first period and 8.8% in the second period (P=NS). The procedures adopted following the failure of the pharmacological therapy changed over the two periods: uterine packs with sterile gauzes went from 17.9% in the 2003-2010 timeframe, to 2.4% in the 2011-2018 (P=0.01). While the use of uterine balloon went from 12.8% (2003-2010) to 64.3% (2011-2018) (P<0.001).-
dc.subject*Pregnancy Complications/epidemiology/etiology-
dc.subjectRetrospective Studies-
dc.subject*Postpartum Hemorrhage/epidemiology/therapy-
dc.subjectPostpartum Period-
dc.subjectData Analysis-
dc.titleMajor post-partum hemorrhage rate in a I level hospital: data analysis of substandard care and near-miss cases.-
dc.typeJournal Article-
dc.identifier.journaltitleMinerva obstetrics and gynecology-
dc.description.affiliationObstetrics and Gynecology Unit, Sacra Famiglia - Fatebenefratelli Hospital, Erba, Como, Italy.-
dc.description.affiliationDepartment of Obstetrics and Gynecology, University of Milano-Bicocca, Monza, Italy -
dc.description.affiliationSacra Famiglia - Fatebenefratelli Hospital, Erba, Como, Italy.-
dc.description.affiliationAlice Springs Hospital, Alice Springs, Australia.-
local.issue.number2724-6450 (Electronic)-
local.issue.number2724-606X (Linking)-
Appears in Collections:(a) NT Health Research Collection

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