A prospective cohort study of shock index as a reliable marker to predict the patient’s need for blood transfusion due to postpartum hemorrhage

  • Süleyman Cemil Oğlak Department of Obstetrics and Gynecology, Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital
  • Mehmet Obut Department of Obstetrics and Gynecology, Etlik Zübeyde Hanım Training and Research Hospital, Ankara, Turkey.
  • Ali Emre Tahaoğlu Department of Obstetrics and Gynecology, Dicle Memorial Hospital, Diyarbakır, Turkey
  • Neslihan Uğur Demirel Department of Obstetrics and Gynecology, Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital
  • Bekir Kahveci Department of Obstetrics and Gynecology, Çukurova University School of Medicine, Adana, Turkey.
  • İhsan Bağlı Department of Obstetrics and Gynecology, Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital
DOI: https://doi.org/10.12669/pjms.37.3.3444
Keywords: Postpartum hemorrhage, Shock index, Vaginal delivery

Abstract

Objective: This study was aimed to compare the shock index (SI) values between patients who required blood transfusion due to postpartum hemorrhage (PPH) and patients who received no blood transfusion.

Methods: We conducted this cross-sectional study at a tertiary center between January 2019 and June 2019. A total of 2534 patients who underwent vaginal delivery were included in this study. We measured SI values upon admission, 30 minutes, 1-hour, and 2-hours after delivery. We identified women who required blood transfusion as the study group. Control patients who delivered in the same period and received no blood transfusion were identified in the medical record system and randomly selected. Age, parity, BMI, and SI values at each one prepartum and three postpartum periods of the groups were analyzed.

Results: A total of 2534 patients were included in the study. A varying amount of blood transfusion was performed in 54 patients (2.13%). When we compared with patients who did not receive blood transfusion after delivery, patients who received any amount of blood transfusion after vaginal delivery had significantly higher SI values 30 minutes after delivery (0.99±0.20, and 085±0.11, p=0.0001), at 1-hour (1.00±0.18, and 0.85±0.11, p=0.0001), and 2-hours (1.09±0.16, and 0.87±0.11, p=0.0001).

Conclusion: SI value could be a reliable and consistent marker to predict the requirement for any amount of blood transfusion due to PPH.

doi: https://doi.org/10.12669/pjms.37.3.3444

How to cite this:
Oglak SC, Obut M, Tahaoglu AE, Ugur Demirel N, Kahveci B, Bagli I. A prospective cohort study of shock index as a reliable marker to predict the patient’s need for blood transfusion due to postpartum hemorrhage. Pak J Med Sci. 2021;37(3):863-868.  doi: https://doi.org/10.12669/pjms.37.3.3444

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-03-27
How to Cite
Oğlak, S. C., Obut, M., Tahaoğlu, A. E., Uğur Demirel, N., Kahveci, B., & Bağlı, İhsan. (2021). A prospective cohort study of shock index as a reliable marker to predict the patient’s need for blood transfusion due to postpartum hemorrhage. Pakistan Journal of Medical Sciences, 37(3). https://doi.org/10.12669/pjms.37.3.3444
Issue
Vol. 37 No. 3 (2021): May – June 2021
Section
Original Articles