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The impact of maternal anemia and labor on the obstetric Shock Index in women in a developing country

机译:母中性贫血和劳动对发展中国家妇女产科休克指数的影响

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Background The Shock Index is a clinical tool to evaluate the hemodynamic status during hemorrhage. The impact of labor and pre-existing anaemia is unknown. The objective was to describe and discuss its clinical utility in this context. Methods This was a prospective cross-sectional study. The Shock Index (ratio between heart rate and systolic blood pressure) was measured in pregnant women at term, before or during labor. They were stratified according to the presence of anemia. Results The median Shock Index was significantly lower in women in labor than in those not in labor (0.72 (IQR: 0.64-0.83) vs. 0.85 (IQR: 0.80-0.94);p < 0.001). In women in labor, the Shock Index was not significantly different if anemia was present (0.72 (0.63-0.83) vs. 0.73 (0.65-0.82);p = 0.67). Conclusions Values of the Shock Index are affected by labor, which may hinder its utility in identifying hemorrhage during this period. However, the values were not altered by maternal anaemia. Therefore, an abnormal postpartum Shock Index should not be attributed to an abnormal antepartum Shock Index due to mild/moderate anemia.
机译:背景技术震动指数是评估出血期间血液动力学状态的临床工具。劳动和预先存在的贫血的影响是未知的。目标是在这种背景下描述和讨论其临床效用。方法这是一项潜在的横断面研究。在孕妇,在劳动之前或期间,在孕妇中测量抗冲击指数(心率和收缩压之间的比率)。它们根据贫血的存在分层。结果劳动中的女性中位数震动指数显着降低,而不是在劳动中的那些(0.72(IQR:0.64-0.83)与0.85(IQR:0.80-0.94); P <0.001)。在劳动中的女性中,如果存在贫血(0.72(0.63-0.83)与0.73(0.65-0.82); p = 0.67),休克指数没有显着差异。结论抗冲击指数的值受劳动力的影响,可能阻碍其在此期间鉴定出血的效用。然而,这些值没有被母体贫血改变。因此,由于温和/中度贫血,异常的产后休克指数不应归因于异常的抗牛瘟休克指数。

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