Table 1. Characteristics of Women with Hypovolemic Shock Secondary to Obstetric Hemorrhage at Time of Study Entry, Nigeria (n = 1,149).
Characteristic | Survived | Died | P |
Number of women | 948 (82.5) | 201 (17.5) | |
Age, mean (sd) δ | 29.1 (6.7) | 30.5 (6.9) | 0.031 |
Gravidity, mean (sd) φ | 5.1 (3.4) | 5.7 (3.5) | 0.032 |
High gravidity (≥6) φ | 358 (40.9) | 94 (49.7) | 0.026 |
Booked€ | 52 (10.7) | 10 (11.0) | 0.930 |
Delivery at Health Facility£ | 512 (57.7) | 99 (63.9) | 0.152 |
Treatment Facility Typeφ | |||
Primary | 101 (10.7) | 9 (4.5) | 0.002 |
Secondary | 345 (36.4) | 61 (30.4) | |
Tertiary | 496 (52.3) | 128 (63.7) | |
Hemorrhage Etiology¥ | 0.001 | ||
Uterine Atony | 439 (46.9) | 100 (51.8) | |
Retained Placenta or Fragments | 219 (23.4) | 26 (13.5) | |
Complications of Abortion | 69 (7.4) | 7 (3.6) | |
Placental Abruption | 78 (8.3) | 22 (11.4) | |
Placenta Previa | 30 (3.2) | 9 (4.7) | |
Ruptured Uterus | 35 (3.7) | 15 (7.8) | |
Lacerations | 38 (4.1) | 8 (4.2) | |
Ectopic Pregnancy | 15 (1.6) | 0 (0) | |
Placenta Accreta | 2 (0.2) | 0 (0) | |
Other | 12 (1.3) | 6 (3.1) | |
Fetal Outcome∞ | 0.001 | ||
Alive | 418 (61.6) | 58 (52.3) | |
Dead: Fresh still birth | 219 (32.3) | 35 (32.5) | |
Dead: Macerated | 42 (6.2) | 18 (16.2) | |
MAP<60 mmHgµ | 273 (43.8) | 43 (41.8) | 0.704 |
Temperature <37.0 Cα | 218 (49.3) | 44 (60.3) | 0.083 |
Respiratory Rate, mean (sd) β | 30.1 (13.7) | 34.7 (19.3) | 0.000 |
Pulse, mean (sd) π | 108.4 (21.3) | 112.9 (19.1) | 0.066 |
Estimated blood loss, median (range) ρ | 1000 (100–6000) | 1500 (150–4700) | 0.001 |
IV Fluid received | 847 (89.4) | 173 (86.1) | 0.181 |
Volume IV Fluid, median (range) ϑ | 2000 (300–12700) | 2500 (100–7500) | 0.058 |
Blood Received | 848 (89.5) | 141 (70.2) | 0.000 |
Units of Blood Received, median (range) ![]() |
2 (0.5–12) | 1 (0.5–14) | 0.000 |
Blood Received if MAP<60 mmHg![]() |
253 (92.7) | 34 (79.1) | 0.004 |
Comorbidities | |||
Any Comorbidity | 76 (8.0) | 49 (24.4) | 0.000 |
Anemia | 30 (3.2) | 28 (13.9) | 0.000 |
Hypertensive Disorders of Pregnancy | 43 (4.5) | 18 (9.0) | 0.011 |
Sepsis | 2 (0.2) | 5 (2.5) | 0.002 |
Malaria | 4 (0.4) | 1 (0.5) | 1.000 |
HIV/AIDS | 0 (0) | 1 (0.5) | 0.175 |
Other | 3 (0.3) | 0 (0) | 1.000 |
No women survived: 890, No women died: 183; φNo women survived: 875, No women died: 189; €No women survived: 487, No women died: 91; £No women survived: 887, No women died: 155; φNo women survived:942, No women died:198; ¥No women survived: 937, No women died: 193; ∞ No women survived: 679, No women died: 111; µ No women survived: 624, No women died: 103; α No women survived: 442, No women died: 73; β No women survived: 596, No women died: 104; π No women survived: 627, No women died: 104; ρ No women survived: 586, No women died: 109; ϑ No women survived: 847, No women died: 173; No women survived: 848, No women died: 141;
No women survived: 273, No women died: 43.