Postpartum Hemorrhage
Conditions
Brief summary
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.
Interventions
OTHERExposure to vaginal delivery
Women who have vaginal births are observed for a minimum of 1 hour postpartum
Sponsors
Fundacion Clinica Valle del Lili
Gynuity Health Projects
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Receive care for vaginal delivery
Exclusion criteria
* Scheduled or transferred for cesarean section * Cannot give informed consent * Are not willing and/or cannot answer the questionnaire on their background
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between blood loss and shock index | Within 1 hour postpartum | Correlate shock index, heart rate, and blood pressure measurements with blood loss levels at 15, 30, 45 & 60 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Median blood loss in the postpartum and interquartile range | Up to two hours postpartum | Blood loss at 30 and 60 minutes postpartum, at PPH diagnosis (if applicable), and when active bleeding stops |
| Percentage of women with blood loss ≥ 500 ml and ≥ 1000 ml | Up to two hours postpartum | 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 |
| Percentage of women who received treatment to control bleeding | Up to two hours postpartum | — |
| Average change in Hb measured before and after delivery | Pre-delivery and at least 24 hours postpartum | Among women receiving treatment to control postpartum hemorrhage |
| Percentage of women with complications | Through study completion, an average of 24-48 hours postpartum | Among women receiving treatment to control postpartum hemorrhage |
Countries
Colombia
Outcome results
None listed