Abstract
BACKGROUND: To assess usefulness of shock index and the different vital signs in predicting the maternal outcomes in the cases of obstetric haemorrhage. METHODS:Aprospective descriptive cross-sectional study was carried out in cases of obstetric haemorrhage. Data of vital signs; systolic and diastolic blood pressure, pulse rate, pulse pressure, mean arterial pressure and shock index at time of arrival was recorded. Maternal outcome in the form of morbidity, mortality, need for admission to intensive care unit, massive transfusion and invasive procedures was observed and analysed. RESULTS: The mean age of participants in years (SD) was 24.27 (±3.09). The mean value of HR 108.52.1±21.03, SBP101.26 ± 13.55 mmHg, DBP 59.28±18.30 mmHg, SI 1.22±0.36 and mean blood loss 1452.03± 727.56. There was a signicant association between shock Index and pregnancy outcomes, level of consciousness, amount of blood loss, unit of blood transfusions required and ICU admissions. Conclusion: Shock index value is a reliable and consistent marker to predict the adverse maternal outcome and requirement of amount of blood transfusion and need for intensive care due to obstetric haemorrhage.
Published Version
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