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. 2017 May;76(5):128-132.

Racial-ethnic Disparities in Postpartum Hemorrhage in Native Hawaiians, Pacific Islanders, and Asians

Scott A Harvey  1 , Eunjung Lim  1 , Krupa R Gandhi  1 , Jill Miyamura  1 , Kazuma Nakagawa  1
Affiliations

Racial-ethnic Disparities in Postpartum Hemorrhage in Native Hawaiians, Pacific Islanders, and Asians

Scott A Harvey et al. Hawaii J Med Public Health. 2017 May.

Abstract

The objective of this study was to assess racial-ethnic differences in the prevalence of postpartum hemorrhage (PPH) among Native Hawaiians and other Pacific Islanders (NHOPI), Asians, and Whites. We performed a retrospective study on statewide inpatient data for delivery hospitalizations in Hawai'i between January 1995 and December 2013. A total of 243,693 in-hospital delivery discharges (35.0% NHOPI, 44.0% Asian, and 21.0% White) were studied. Among patients with PPH, there were more NHOPI (37.1%) and Asians (47.6%), compared to Whites (15.3%). Multivariable logistic regression was used to assess the impact of maternal race-ethnicity on the prevalence of PPH after adjusting for delivery type, labor induction, prolonged labor, multiple gestation, gestational hypertension, gestational diabetes, preeclampsia, chorioamnionitis, placental abruption, placenta previa, obesity, and period with different diagnostic criteria for preeclampsia. In the multivariable analyses, NHOPI (adjusted odds ratio [aOR], 1.40; 95% confidence interval [CI], 1.32-1.48) and Asians (aOR, 1.45; 95% CI, 1.37-1.53) were more likely to have PPH compared to Whites. In the secondary analyses of 12,142 discharges with PPH, NHOPI and Asians had higher prevalence of uterine atony than Whites (NHOPI: 77.2%, Asians: 73.9% vs Whites: 65.1%, P < .001 for both comparisons).

Keywords: Native Hawaiian and Pacific Islanders; Postpartum hemorrhage.

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Conflict of interest statement

None of the authors identify any conflict of interest.

References

    1. Bulletins—Gynecology ACoP. ACOG Practice Bulletin, author. Clinical management guidelines for obstetrician-gynecologists, Number 72, May 2006: Vaginitis. Obstetrics and gynecology. 2006;107(5):1195–1206. - PubMed
    1. WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. Geneva: 2012. - PubMed
    1. Gynecologists RCoOa, author. Postpartum hemorrhage: prevention and management. 2011. [November 29, 2016]. https://www.rcog.org.uk/globalassets/documents/guidelines/gt52postpartum....
    1. Oyelese Y, Ananth CV. Postpartum hemorrhage: epidemiology, risk factors, and causes. Clin Obstet Gynecol. 2010;53(1):147–156. - PubMed
    1. Rath WH. Postpartum hemorrhage--update on problems of definitions and diagnosis. Acta Obstet Gynecol Scand. 2011;90(5):421–428. - PubMed

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