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Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge

We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH...

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Autores principales: Doherty, Sean, Asghari, Shabnam, Heeley, Thomas, House-Denine, Marissa, Hall, Amanda, Swab, Michelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225700/
https://www.ncbi.nlm.nih.gov/pubmed/35722854
http://dx.doi.org/10.1080/22423982.2022.2090066
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author Doherty, Sean
Asghari, Shabnam
Heeley, Thomas
House-Denine, Marissa
Hall, Amanda
Swab, Michelle
author_facet Doherty, Sean
Asghari, Shabnam
Heeley, Thomas
House-Denine, Marissa
Hall, Amanda
Swab, Michelle
author_sort Doherty, Sean
collection PubMed
description We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH incidence, risk factors, or maternal outcomes published from inception to 11 January 2021. Eleven articles were deemed relevant after screening and quality assessment using the National Institutes of Health scoring system for mixed study reviews. Of these, 3 articles were good quality, 1 was fair, and 7 were poor. Nine possible risk factors were recorded. The outcomes studied were transfusion, hysterectomy and mortality. PPH research in rural Indigenous women is scarce, mostly low quality and fails to represent most Indigenous cultures and countries. Women from Indigenous groups in rural Canada, Australia and the USA are at higher risk for PPH but specific risk factors are unknown. While widely differing populations made the data difficult to synthesise, this inaugural scoping review highlights a need for further research and increased obstetrical resources in areas where rural Indigenous women reside.
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spelling pubmed-92257002022-06-24 Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge Doherty, Sean Asghari, Shabnam Heeley, Thomas House-Denine, Marissa Hall, Amanda Swab, Michelle Int J Circumpolar Health Review Article (Scoping and Systematic) We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH incidence, risk factors, or maternal outcomes published from inception to 11 January 2021. Eleven articles were deemed relevant after screening and quality assessment using the National Institutes of Health scoring system for mixed study reviews. Of these, 3 articles were good quality, 1 was fair, and 7 were poor. Nine possible risk factors were recorded. The outcomes studied were transfusion, hysterectomy and mortality. PPH research in rural Indigenous women is scarce, mostly low quality and fails to represent most Indigenous cultures and countries. Women from Indigenous groups in rural Canada, Australia and the USA are at higher risk for PPH but specific risk factors are unknown. While widely differing populations made the data difficult to synthesise, this inaugural scoping review highlights a need for further research and increased obstetrical resources in areas where rural Indigenous women reside. Taylor & Francis 2022-06-19 /pmc/articles/PMC9225700/ /pubmed/35722854 http://dx.doi.org/10.1080/22423982.2022.2090066 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article (Scoping and Systematic)
Doherty, Sean
Asghari, Shabnam
Heeley, Thomas
House-Denine, Marissa
Hall, Amanda
Swab, Michelle
Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title_full Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title_fullStr Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title_full_unstemmed Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title_short Postpartum haemorrhage in rural Indigenous women: scoping review of a global obstetrical challenge
title_sort postpartum haemorrhage in rural indigenous women: scoping review of a global obstetrical challenge
topic Review Article (Scoping and Systematic)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225700/
https://www.ncbi.nlm.nih.gov/pubmed/35722854
http://dx.doi.org/10.1080/22423982.2022.2090066
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