Influence of obesity, sociodemograpgical factors and characteristitcs of delivery on the development of post-partum hemorrhage

Section: Originals

How to quote

Fuentes García P, Maroto Alonso V, Mudarra García N, Morillo Pareja M, García Ramos S. Influencias de la obesidad, los factores sociodemográficos y las características del parto en la aparición de la hemorragia posparto. Metas Enferm may 2023; 26(4):50-7. Doi: https://doi.org/10.35667/MetasEnf.2023.26.1003082087

Authors

Paula Fuentes García1, Virginia Maroto Alonso2, Natalia Mudarra García3, Melodía Morillo Pareja4, Sergio García Ramos5

Position

1Matrona. Máster Interuniversitario en Bioética y Formación por la Universidad Católica de Ávila y Universidad CEU-San Pablo. Doctoranda en la Universidad de Salamanca. Servicio de Obstetricia y Ginecología. Hospital General Universitario Gregorio Marañón. Madrid (España). Escuela Salus Infirmorum. Universidad Pontificia de Salamanca. España 2Matrona. Doctora en Cuidados de la Salud por la Universidad Complutense de Madrid (España). Atención Primaria de Madrid (España). Universidad Antonio de Nebrija. Madrid (España)3Doctora en Cuidados de la Salud por la Universidad Complutense de Madrid (España). Enfermera. Hospital Infanta Cristina. Parla, Madrid (España). Universidad Complutense de Madrid (España)4Matrona. Máster Oficial en Epidemiología y Salud Pública. Universidad Internacional de Valencia (España). Hospital Universitario 12 de Octubre. Madrid (España)5Médico. Doctorando en Universidad Complutense de Madrid. Hospital General Universitario Gregorio Marañón. Madrid (España)

Contact address

Paula Fuentes García. Servicio de Paritorio. Hospital General Universitario Gregorio Marañón. C/ O'Donnell, 48. 28009 Madrid (España).

Contact email: paula.fuentes@salud.madrid.org

Abstract

Objective: to analyse the association of sociodemographic characteristics, pre-pregnancy obesity, excessive weight gain during pregnancy and characteristics of delivery with the risk of suffering a post-partum haemorrhage (PPH).
Method: a retrospective, cross-sectional, descriptive study conducted with women who gave birth during 2018 in a second level hospital. The study included pregnant women with single birth of a live newborn at term, with vaginal delivery and complete pregnancy monitoring at hospital. The following information was collected from the clinical record: age and origin of the mother, pre-pregnancy body mass index, weight gain during pregnancy, and different variables associated with delivery. The outcome variable was PPH (> 500mL).
Results: the study included N= 831 women; their mean age was 31.8 years (SD:5.38), 62.7% were Spanish; 64.6% were multiparous; 41.7% presented pre-pregnancy overweight / obesity; 26.2% had an excessive weight gain during pregnancy; 89,3% had natural deliveries and 70,4% of deliveries were directed. Twenty women presented PPH (2.4%). No association was found with any of the characteristics studied, except for type of delivery (p= 0.039). Patients with non-spontaneous delivery presented higher risk of suffering PPH; 5.39 times more (1.13-25.75; p= 0.022) when delivery was directed and 5.29 (1.3-21.69; p= 0.013) when it was manual.
Conclusions: neither sociodemographic factors nor pre and post-pregnancy anthropometric characteristics have influence on the development of PPH. Non-spontaneous delivery increases the risk of PPH up to five times more. These data must be interpreted cautiously.

Keywords:

postpartum hemorrhage; risk factors; maternal health; maternal age; Obesity; maternal; gestational weight gain; parturition

Versión en Español

Título:

Influencia de la obesidad, los factores sociodemográficos y las características del parto en la aparición de la hemorragia posparto