Evaluation of postpartum shock index in hypertensive diseases of pregnancy: a case-control study from a tertiary reference center
Journal of Perinatal Medicine, cilt.52, sa.3, ss.298-303, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.1515/jpm-2023-0219
- Dergi Adı: Journal of Perinatal Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.298-303
- Anahtar Kelimeler: shock index, postpartum bleeding, hypertensive diseases of pregnancy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 ≥2g/dL. Results: Peripartum SI (p<0.001), 15th min SI (p<0.001), 30thmin SI (p<0.001), 2ndh SI (p<0.001), 6thh 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 ≥2g/dL (r=0.209; p=0.002). Optimal cutoff values for SI were; 0.7 at peripartum 0.7 at 15min, 0.73 at 30min, 0.6 at 2h, and 0.7 at 6h, respectively. Conclusions: Clinically significant blood loss may develop at lower SI values in hypertensive pregnant women.