The Influence of Preoperative Mild Thrombocytopenia on Postpartum Hemorrhage after Cesarean Section

Aihua WANG; Yimei YANG; Yu SUN; Lei BAO

doi:10.12259/j.issn.2095-610X.S20220921

Volume 43 Issue 9

Sep. 2022

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Aihua WANG, Yimei YANG, Yu SUN, Lei BAO. The Influence of Preoperative Mild Thrombocytopenia on Postpartum Hemorrhage after Cesarean Section[J]. Journal of Kunming Medical University, 2022, 43(9): 114-117. doi: 10.12259/j.issn.2095-610X.S20220921

Citation:

Aihua WANG, Yimei YANG, Yu SUN, Lei BAO. The Influence of Preoperative Mild Thrombocytopenia on Postpartum Hemorrhage after Cesarean Section[J]. Journal of Kunming Medical University, 2022, 43(9): 114-117. doi: 10.12259/j.issn.2095-610X.S20220921

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The Influence of Preoperative Mild Thrombocytopenia on Postpartum Hemorrhage after Cesarean Section

doi: 10.12259/j.issn.2095-610X.S20220921

Dept. of Obstetrics，Kunming Maternal and Child Health Hospital， Kunming Yunnan 650031，China

Received Date: 2022-07-15
Available Online: 2022-09-07
Publish Date: 2022-09-29

Abstract

Abstract

Objective The purpose of this study is to analyze whether mild thrombocytopenia is associated with an increased risk of postpartum hemorrhage in women undergoing cesarean section. Methods All women who underwent cesarean section in the department of gynecology in our hospital from September 2018 to June 2021 were included in the study for retrospective analysis. The study subjects were divided into normal platelet count group （≥150000/μL） and mild thrombocytopenia group （100000～149000/μL） according to the platelet concentration. The maternal postpartum hemorrhage, blood transfusion, wound complications （infection, dehiscence or hematoma at the operation site） and postpartum emergency visits were observed. Results Among 918 women, 832 （90.6%） had the normal platelet counts, and 86 （9.4%） had mild thrombocytopenia. Compared with the women with mild thrombocytopenia, there was no difference in risks of postpartum hemorrhage （13.5% vs 14.0%, OR = 1.16, 95% CI 0.88-1.54, P = 0.801） , need for blood transfusions （6.5% vs 6.7%, OR = 1.34, 95%CI 0.80-2.24, P = 0.622）, wound complications （4.5% vs 5.4%, OR = 1.53, 95%CI 0.88-2.64, P = 0.494） or emergency postpartum visits （9.0% vs 10.7%, OR = 1.37; 95%CI 0.92–2.03, P = 0.346） for the women with the normal platelet counts. Conclusion The preoperative mild thrombocytopenia of cesarean section women has nothing to do with the postpartum hemorrhage, blood transfusion, wound complications or postpartum emergency visits.
- Cesarean section,
- Thrombocytopenia,
- Postpartum hemorrhage,
- Wound complications,
- Postpartum emergency

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References(16)

References

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