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| Name | Class |
|---|---|
| Fundacion Clinica Valle del Lili | OTHER |
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The present study aims to determine the relationship between postpartum changes in the shock index and the severity of blood loss and other PPH results. Blood loss, heart rate and blood pressure will be systematically measured in the postpartum period in all participating women to explore new clinical indicators to identify those requiring clinical intervention for excessive bleeding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women in labor | All participants who have a vaginal delivery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exposure to vaginal delivery | Other | Women who have vaginal births are observed for a minimum of 1 hour postpartum |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between blood loss and shock index | Correlate shock index, heart rate, and blood pressure measurements with blood loss levels at 15, 30, 45 & 60 minutes | Within 1 hour postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of women with blood loss ā„ 500 ml and ā„ 1000 ml | Proportions with ā„ 500 ml and ā„ 1000 ml blood loss at 30 and 60 minutes postpartum, at PPH diagnosis (if applicable), and when active bleeding stops | Up to two hours postpartum |
| Median blood loss in the postpartum and interquartile range |
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Inclusion Criteria:
Exclusion Criteria:
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All women presenting for vaginal delivery will be invited to participate
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| Name | Affiliation | Role |
|---|---|---|
| Beverly Winikoff, MD, MPH | Gynuity Health Projects | Principal Investigator |
| Jill Durocher | Gynuity Health Projects | Principal Investigator |
| Ilana Dzuba, MPH | Gynuity Health Projects | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FundaciĆ³n Valle del Lili | Cali | Colombia |
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| ID | Term |
|---|---|
| D006473 | Postpartum Hemorrhage |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Blood loss at 30 and 60 minutes postpartum, at PPH diagnosis (if applicable), and when active bleeding stops |
| Up to two hours postpartum |
| Percentage of women who received treatment to control bleeding | Up to two hours postpartum |
| Average change in Hb measured before and after delivery | Among women receiving treatment to control postpartum hemorrhage | Pre-delivery and at least 24 hours postpartum |
| Percentage of women with complications | Among women receiving treatment to control postpartum hemorrhage | Through study completion, an average of 24-48 hours postpartum |
| D011644 | Puerperal Disorders |
| D014592 | Uterine Hemorrhage |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |