Volume 21 Issue 5
May  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 761-764
ZHOU Haixian, JIN Weiwei, XU Qun, LIN Lejing, HU Yanjun. Clinical value of scoring system of postpartum hemorrhage in predicting postpartum hemorrhage in pregnant women of different ages[J]. Chinese Journal of General Practice, 2023, 21(5): 761-764. doi: 10.16766/j.cnki.issn.1674-4152.002977
Citation: ZHOU Haixian, JIN Weiwei, XU Qun, LIN Lejing, HU Yanjun. Clinical value of scoring system of postpartum hemorrhage in predicting postpartum hemorrhage in pregnant women of different ages[J]. Chinese Journal of General Practice, 2023, 21(5): 761-764. doi: 10.16766/j.cnki.issn.1674-4152.002977
shu

Clinical value of scoring system of postpartum hemorrhage in predicting postpartum hemorrhage in pregnant women of different ages

doi: 10.16766/j.cnki.issn.1674-4152.002977
  • 1.

    Department of Obstetrics and Gynecology, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 2021KY1080

  • Received Date: 2022-12-11
    Abstract
  •   Objective  To analyze the predictive value of scoring system of postpartum hemorrhage (PPH) in pregnant women of different ages, and provide reference for personalized assessment of PPH risk.  Methods  A total of 3 559 pregnant women who gave birth in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from May 2019 to May 2022 were selected as subjects. According to age and whether the pregnant women were diagnosed with PPH, they were divided into PPH group (< 35 years old, 22 cases; ≥35 years old, 76 cases) and control group (< 35 years old, 44 cases; ≥35 years old, 152 cases). The scoring system of PPH was used to score pregnant women at admission, delivery and after delivery. The predictive value of scoring system of PPH in pregnant women aged < 35 years versus ≥35 years was analyzed.  Results  Prenatal score, postpartum score and total score all had predictive effects on PPH (P≤0.001), and area under curve (AUC) were 0.703, 0.796 and 0.806, respectively. The prenatal score, postpartum score and total score of pregnant women in PPH group (< 35 years old) were significantly higher than those in control group (< 35 years old, all P < 0.05). The prenatal score, postpartum score and total score of pregnant women in PPH group (≥35 years old) were significantly higher than those in control group (≥35 years old, all P < 0.05). In pregnant women < 35 years old, postpartum score and total score had predictive value for PPH (P < 0.001), AUC were 0.785 and 0.839, and the optimal cut-off value were 4 and 10 points, while prenatal score had no predictive value for PPH (P>0.05). In pregnant women age ≥35 years, prenatal score and total score had predictive value for PPH (P < 0.001), AUC were 0.786 and 0.881, and the optimal cut-off value were 6 and 7 points, while postpartum score had no predictive value for PPH (all P>0.05).  Conclusion  Scoring system of PPH has a good predictive effect on PPH. The cut-off values of the scores are different for pregnant women < 35 years old and ≥35 years old.

     

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