Relationship between gestational weight gain and amount of postpartum bleeding

Year 2020, , 365 - 369, 30.09.2020

Tuğba Kınay , Runa Özelçi , Berna Dilbaz , İnci Kahyaoğlu , Özlem Moraloğlu Tekin

https://doi.org/10.16899/jcm.636511

Abstract

Abstract

Background/Aims:To evaluate the effect of gestational weight gain on the amount of postpartum
bleeding.

Methods: An observational study reviewed medical records of with low-risk
singleton pregnancies who delivered vaginally at 37 weeks of gestation or
beyond between May 1 and November 1, 2018 at a tertiary referral center. Demographic
and clinical characteristics were obtained from the medical records. The relationship
between the increased rate in BMI during pregnancy and amount of blood loss in
the postpartum first hour was evaluated. 

Results:A total of 411 women was included in the study. In the study population,
the mean blood loss was 57.3±43.9 ml in the 3^rd stage of labor and
113.2±76.9 ml in the postpartum first hour. No correlation was found between
the increase in BMI during pregnancy and blood loss during the 3^rd stage
of labor (r=0.006) and postpartum first hour (r=0.037). Nulliparity, history of
postpartum hemorrhage in previous pregnancy, premature rupture of membranes, and
episiotomy were found to be risk factors for increased postpartum blood loss during
the 1^st hour (p< 0.05). 

Conclusions: Increase in BMI was not related with the amount
of postpartum bleeding in women with low-risk pregnancy who had a vaginal
delivery. 

Keywords

Postpartum hemorrhage, gestational weight gain, body mass index, nulliparity, episiotomy

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