Table 2.
n | % | Proportion with severe PPH (%) | OR | 95%CI | |
---|---|---|---|---|---|
Initial management of PPH* | |||||
Oxytocin administration | |||||
≤10 min | 2,208 | 48.5 | 20.5 | 1.00 | - |
>10–20 min | 329 | 7.2 | 24.6 | 1.27 | 0.97–1.66 |
>20 min | 447 | 9.8 | 31.8 | 1.81 | 1.45–2.26 |
done but delay unknown | 1,224 | 27.0 | 17.7 | 0.83 | 0.63–1.13 |
not done | 342 | 7.5 | 17.8 | 0.8 | 0.70–1.00 |
Manual examination of the uterine cavity | |||||
≤10 min | 2,114 | 46.5 | 20.7 | 1.00 | - |
>10–20 min | 326 | 7.2 | 23.9 | 1.21 | 0.92–1.59 |
>20 min | 490 | 10.8 | 28.2 | 1.50 | 1.20–1.88 |
done but delay unknown | 929 | 20.4 | 15.6 | 0.71 | 0.58–0.87 |
not done | 691 | 15.2 | 22.3 | 1.10 | 0.89–1.35 |
Call for obstetrician | |||||
present/call ≤10min | 2,050 | 45.1 | 24.8 | 1.00 | - |
call > 10 min | 362 | 8.0 | 29.8 | 1.29 | 1.01–1.65 |
called but delay unknown | 294 | 6.5 | 24.8 | 1.00 | 0.76–1.33 |
not called. not present | 1,844 | 40.6 | 14.3 | 0.50 | 0.43–0.6 |
Call for anesthesiologist | |||||
present/call ≤10 min | 999 | 22.0 | 29.9 | 1.00 | - |
call > 10 min | 356 | 7.8 | 35.1 | 1.27 | 0.98–1.64 |
called but delay unknown | 318 | 7.0 | 28.3 | 0.92 | 0.70–1.22 |
not called. not present | 2,877 | 63.2 | 15.2 | 0.42 | 0.35–0.50 |
Characteristics of the units** | |||||
Status | |||||
University public | 1,423 | 31.3 | 17.6 | 1.00 | - |
Other public | 2,219 | 48.8 | 23.8 | 1.45 | 1.09–1.92 |
Private | 908 | 19.9 | 19.2 | 1.07 | 0.77–1.50 |
Level of care | |||||
1 | 1,369 | 30.1 | 21.4 | 0.97 | 0.76–1.23 |
2 | 2,219 | 48.8 | 21.1 | 1.00 | - |
3 | 962 | 21.1 | 19.8 | 0.92 | 0.64–1.33 |
Number of annual of deliveries | |||||
<1,500 | 1,483 | 32.6 | 23.3 | 1.18 | 0.93–1.51 |
1,500–2,500 | 1,922 | 42.2 | 19.6 | 1.00 | - |
>2,500 | 1,145 | 25.2 | 20.2 | 1.02 | 0.73–1.43 |
24h/24 presence of obstetrician | 3,318 | 73.0 | 19.7 | 0.80 | 0.64–1.00 |
24 h/24 presence of anesthesiologist | 4,084 | 89.8 | 20.8 | 1.07 | 0.78–1.47 |
Total | 4,550 | 100.0 | 20.9 | NA |
Logistic regression
Multilevel logistic regression