Extravasation on CT scanning | No extravasation on CT scanning | p Value | |||
---|---|---|---|---|---|
Angiography | No angiography | Angiography | No angiography | ||
N = 20 | N = 11 | N = 2 | N = 19 | ||
Maternal characteristics | |||||
Age, median (IQR) | 31 (29-36) | 33 (33-39) | 37 (34-40) | 34 (31-38) | 0.24 |
Pre-pregnant BMI, median (IQR) | 23.2 (20.4-25.2) | 22.6 (20.7-22.9) | 21 (21-21) | 22.3 (20.1-25.9) | 0.90 |
Assisted reproductive technologies, n (%) | 3 (20.0) | 3 (37.5) | 1 (50.0) | 5 (26.3) | 0.58 |
Vaginal delivery, n (%) | 9 (45.0) | 4 (36.4) | 1 (71.4) | 14 (73.7) | 0.16 |
Caesarean delivery, n (%) | 5 (25.0) | 4 (36.4) | 0 (0) | 3 (15.8) | 0.44 |
Assisted vaginal delivery, n (%) | 6 (30.0) | 3 (27.2) | 1 (50.0) | 2 (11.1) | 0.39 |
Post-partum haemorrhage details, n (%) | |||||
Tone | 14 (70.0) | 8 (72.7) | 1 (50.0) | 11 (57.9) | 0.77 |
Trauma | 4 (20.0) | 3 (27.3) | 1 (50.0) | 7 (36.8) | 0.62 |
Tissue | 1 (5.0) | 0 (0) | 0 (0) | 1 (5.3) | 0.76 |
Thrombin | 4 (20.0) | 2 (18.2) | 0 (0) | 1 (5.3) | 0.42 |
Severity, median (IQR) | |||||
Shock index | 0.8 (0.7-0.9) | 1 (0.9-1.1) | 1.1 (0.7-1.5) | 0.8 (0.7-1.0) | 0.18 |
Lactate (mg/dl) | 24 (17-32) | 24 (15-43) | 15 (6-24) | 22 (10-33) | 0.79 |
Blood loss (ml) | 3045 (1557-6426) | 4011 (2100-6353) | 1132 (1109-1132) | 2247 (1155-2730) | 0.08 |
Treatment, n (%) | |||||
Embolization | 19 (95.0) | 0 (0) | 1 (50.0) | 0 (0) | <0.01 |
Bilateral uterine arteries | 6 (30.0) | 0 (0) | |||
Unilateral uterine artery | 4 (20.0) | 1 (100.0) | |||
Inferior epigastric artery | 3 (15.0) | 0 (0) | |||
Internal pudendal artery | 2 (10.0) | 0 (0) | |||
Vaginal artery | 2 (10.0) | 0 (0) | |||
Perineal artery | 1 (5.0) | 0 (0) | |||
Internal iliac artery | 1 (5.0) | 0 (0) | |||
Middle rectal artery | 1 (5.0) | 0 (0) | |||
Obturator artery | 1 (5.0) | 0 (0) | |||
Surgery | 2 (10.0) | 5 (45.5) | 0 (0) | 3 (14.3) | 0.11 |
Hysterectomy | 2 (10.0) | 4 (36.4) | 2 (10.5) | 0.22 | |
Perineal repair | 0 (0) | 1 (9.1) | 1 (5.3) | 0.49 | |
Postpartum balloon | 9 (45.0) | 8 (72.7) | 7 (36.8) | 0.10 | |
Transfusion (mL), median (IQR) | |||||
RBC suspension | 1680 (560-3640) | 1120 (560-2240) | 420 (0-840) | 840 (560-1120) | 0.20 |
FFP | 1200 (0-3480) | 960 (240-2160) | 240 (0-480) | 480 (0-720) | 0.33 |
PC | 0 (0-400) | 0 (0-400) | 0 (0) | 0 (0) | 0.20 |
Disease course | |||||
Length of ICU stay, days, median (IQR) | 2 (2-3) | 2 (2-3) | 2 (2-2) | 2 (2-2) | 0.47 |
Length of hospital stay, days, median (IQR) | 6 (4-12) | 4 (3-11) | 8 (5-11) | 4 (3-7) | 0.30 |
Discharge to survival, n (%) | 20 (100) | 11 (100) | 2 (100) | 19 (100) | 1.00 |