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Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis

The aim of this study was to compare the estimated blood loss and the frequency of obstetric hemorrhage among pregnant women with and without COVID-19 infection. The study was carried out in the Department of Obstetrics and Gynecology, at the Central Clinical Hospital of the Ministry of the Interior...

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Autores principales: Januszewski, Marcin, Santor-Zaczyńska, Małgorzata, Ziuzia-Januszewska, Laura, Kudan, Michał, Jakimiuk, Alicja A., Wierzba, Waldemar, Jakimiuk, Artur J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9599331/
https://www.ncbi.nlm.nih.gov/pubmed/36289779
http://dx.doi.org/10.3390/biomedicines10102517
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author Januszewski, Marcin
Santor-Zaczyńska, Małgorzata
Ziuzia-Januszewska, Laura
Kudan, Michał
Jakimiuk, Alicja A.
Wierzba, Waldemar
Jakimiuk, Artur J.
author_facet Januszewski, Marcin
Santor-Zaczyńska, Małgorzata
Ziuzia-Januszewska, Laura
Kudan, Michał
Jakimiuk, Alicja A.
Wierzba, Waldemar
Jakimiuk, Artur J.
author_sort Januszewski, Marcin
collection PubMed
description The aim of this study was to compare the estimated blood loss and the frequency of obstetric hemorrhage among pregnant women with and without COVID-19 infection. The study was carried out in the Department of Obstetrics and Gynecology, at the Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, Poland. From 15 May 2020 to 26 April 2021, a total of 224 parturients with COVID-19 infection were admitted for labor. The control group consisted of 300 randomly recruited pre-pandemic deliveries that took place between 15 May 2019 and 26 April 2020 at the Department. The primary outcome was the presence of postpartum hemorrhage, defined as an estimated blood loss of ≥500 mL within 24 h after birth or the need to transfuse 2 or more units of packed red blood cells (pRBCs). Secondary outcomes were the difference between hemoglobin and hematocrit levels at 24 h postpartum, the number of pRBCs units transfused, and the need for transperitoneal drainage. After applying the propensity-score-matching procedure for postpartum bleeding risk factors, 325 eligible patients were included in the final analysis, divided into 203 COVID-19 positive and 122 COVID-19 negative prepandemic deliveries. SARS-CoV-2 infected patients were characterized by a longer activated partial thromboplastin time (APTT), a reduced prothrombin time (PT), and lower platelet count at initial presentation. COVID-19 deliveries were found to be associated with a higher frequency of postpartum hemorrhage, an increased estimated blood loss, the more frequent use of peritoneal drainage, and more pRBCs units transfused. During the pandemic, an increased risk of postpartum hemorrhage posed another threat to SARS-CoV-2 infected pregnant women. It is essential to be aware of this when approaching COVID-19 delivery and to implement efficient preventative methods.
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spelling pubmed-95993312022-10-27 Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis Januszewski, Marcin Santor-Zaczyńska, Małgorzata Ziuzia-Januszewska, Laura Kudan, Michał Jakimiuk, Alicja A. Wierzba, Waldemar Jakimiuk, Artur J. Biomedicines Article The aim of this study was to compare the estimated blood loss and the frequency of obstetric hemorrhage among pregnant women with and without COVID-19 infection. The study was carried out in the Department of Obstetrics and Gynecology, at the Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, Poland. From 15 May 2020 to 26 April 2021, a total of 224 parturients with COVID-19 infection were admitted for labor. The control group consisted of 300 randomly recruited pre-pandemic deliveries that took place between 15 May 2019 and 26 April 2020 at the Department. The primary outcome was the presence of postpartum hemorrhage, defined as an estimated blood loss of ≥500 mL within 24 h after birth or the need to transfuse 2 or more units of packed red blood cells (pRBCs). Secondary outcomes were the difference between hemoglobin and hematocrit levels at 24 h postpartum, the number of pRBCs units transfused, and the need for transperitoneal drainage. After applying the propensity-score-matching procedure for postpartum bleeding risk factors, 325 eligible patients were included in the final analysis, divided into 203 COVID-19 positive and 122 COVID-19 negative prepandemic deliveries. SARS-CoV-2 infected patients were characterized by a longer activated partial thromboplastin time (APTT), a reduced prothrombin time (PT), and lower platelet count at initial presentation. COVID-19 deliveries were found to be associated with a higher frequency of postpartum hemorrhage, an increased estimated blood loss, the more frequent use of peritoneal drainage, and more pRBCs units transfused. During the pandemic, an increased risk of postpartum hemorrhage posed another threat to SARS-CoV-2 infected pregnant women. It is essential to be aware of this when approaching COVID-19 delivery and to implement efficient preventative methods. MDPI 2022-10-09 /pmc/articles/PMC9599331/ /pubmed/36289779 http://dx.doi.org/10.3390/biomedicines10102517 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Januszewski, Marcin
Santor-Zaczyńska, Małgorzata
Ziuzia-Januszewska, Laura
Kudan, Michał
Jakimiuk, Alicja A.
Wierzba, Waldemar
Jakimiuk, Artur J.
Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title_full Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title_fullStr Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title_full_unstemmed Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title_short Postpartum Blood Loss in COVID-19 Patients—Propensity Score Matched Analysis
title_sort postpartum blood loss in covid-19 patients—propensity score matched analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9599331/
https://www.ncbi.nlm.nih.gov/pubmed/36289779
http://dx.doi.org/10.3390/biomedicines10102517
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