Risk of postpartum haemorrhage is associated with ethnicity: A cohort study of 981 801 births in England.
PPH
ethnicity
postpartum haemorrhage
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
09
11
2021
received:
05
07
2021
accepted:
24
11
2021
pubmed:
11
12
2021
medline:
22
6
2022
entrez:
10
12
2021
Statut:
ppublish
Résumé
To determine the association between ethnic group and risk of postpartum haemorrhage in women giving birth. Cohort study. Maternity units in England. A total of 981 801 records of births between 1 April 2015 and 31 March 2017 in a national clinical database. Multivariable logistic regression analyses with multiple imputation to account for missing data and robust standard errors to account for clustering within hospitals. Postpartum haemorrhage of ≥1500 ml (PPH). A total of 28 268 (2.9%) births were complicated by PPH. Risks were higher in women from black (3.9%) and other (3.5%) ethnic backgrounds. Following adjustment for maternal and fetal characteristics, and care at birth, there was evidence of an increased risk of PPH in women from all ethnic minority groups, with the largest increase seen in black women (adjusted OR 1.54, 95% CI 1.45-1.63). The increase in risk was robust to sensitivity analyses, which included changing the outcome to PPH of ≥3000 ml. In England, women from ethnic minority backgrounds have an increased risk of PPH, when maternal, fetal and birth characteristics are taken into account. Factors contributing to this increased risk need further investigation. Perinatal care for women from ethnic minority backgrounds should focus on preventative measures to optimise maternal outcomes. Women with an ethnic minority background giving birth in England have an increased risk of postpartum haemorrhage, even when characteristics of the mother, the baby and the care received are taken into account.
Identifiants
pubmed: 34889021
doi: 10.1111/1471-0528.17051
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1269-1277Subventions
Organisme : Healthcare Quality Improvement Partnership
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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