An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage

Gao Hong; Qian Chuan Yun

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Gao Hong , Qian Chuan Yun . An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2018, 39(06): 96-100.

Citation:

Gao Hong , Qian Chuan Yun . An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2018, 39(06): 96-100.

Gao Hong , Qian Chuan Yun . An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2018, 39(06): 96-100.

Citation:

Gao Hong , Qian Chuan Yun . An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2018, 39(06): 96-100.

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An Analysis of Risk Factors of Renal Inadequacy after Postpartum Hemorrhage

Gao Hong ¹,
Qian Chuan Yun ²

Funds:

基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2014FZ006);

Received Date: 2018-01-13

Abstract

Abstract

Objective To investigate the risk factors of renal inadequacy after postpartum hemorrhage.Me thods According to the diagnostic criteria of postpartum hemorrhage, 200 cases of postpartum hemorrhage who were admitted to the Intensive Care Unit from January 2010 to December 2014 were collected. The general situation, history of pregnancy induced hypertension and gestational diabetes mellitus, ASA classification, anesthesia method, delivery mode, postpartum hemorrhage and other indicators. The risk factors were analyzed by logistic regression.Re s ults Among 200 cases of postpartum hemorrhage who were admitted in the intensive care unit, 21 cases with renal insufficiency were seenafter delivery (10.5%) aged between 20 and 44 years old with the average age of (29.24 ±4.58) years old. Using the ASA evaluation criteria to evaluate the preoperative situation, we observed179 cases in ASA grade level I (89.5%) , 20 casesin level II (10%) , one casein level III (0.5%) and no case in grade IV. Among all the women, we found 147 cases of vaginal delivery (73.5%) , 53 cases of cesarean section (26.5%) , 196 cases of spinal anesthesia (including labor analgesia) (98%) and 4 casesof general anesthesia (2%) . There were 12 patients with hypertension during pregnancy (6%) , and 188 patients without hypertension (94%) . There were 9 cases of gestational diabetes mellitus (4.5%) , and 191 patients without gestational diabetes mellitus (95.5%) .Conclus ions The risk factors of renal insufficiency after postpartum hemorrhage were: age older than 35 years, cesarean delivery, pregnancy history of hypertension or gestational diabetes mellitus.
- Postpartum hemorrhage,
- Renal inadequacy,
- Risk factor

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References(17)

References

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