Dugan-Kim M; Connell S; Stika C; Wong CA; Gossett DR
OBJECTIVE: To appraisal the prevalence of epistaxis amid abundant women and to investigate if epistaxis of abundance is associated with an added accident of postpartum hemorrhage.
METHODS: A accomplice of 1,475 abundant women presenting to activity and commitment at appellation were asked to complete a assay about epistaxis and added acceptable accident factors for bleeding. Results were compared with those from a accomplice of 275 nonpregnant women presenting for accepted gynecologic affliction to appraisal the aftereffect of abundance on the prevalence of epistaxis. The affiliation amid epistaxis of abundance and accident of bleeding was estimated by comparing ante of postpartum drain amid abundant women with and afterwards epistaxis.
RESULTS: Final abstracts assay was performed on 1,470 abundant women and 275 nonpregnant women. The prevalence of epistaxis was decidedly added in abundant women compared with nonpregnant women (20.3% compared with 6.2%; P<.001). Women with epistaxis of abundance were at added accident of postpartum drain compared with women afterwards epistaxis (10.7% compared with 6.7%; P=.02). The added accident of drain remained afterwards authoritative for cesarean commitment and afterwards exclusion of women who appear epistaxis afore pregnancy. Added acceptable accident factors for bleeding such as gingival bleeding, O claret type, and accessible able-bodied were not associated with added accident of postpartum hemorrhage.
CONCLUSION: Epistaxis is a accepted botheration during abundance that may be associated with an added accident of postpartum hemorrhage. As in the nonpregnant population, eliciting a history of epistaxis may advice to analyze women at accident of confused hemostasis.
LEVEL OF EVIDENCE: II.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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