388: Normal distribution of the length of the third stage of labor and risk factors for its prolongation

Abstract BackgroundPostpartum hemorrhage (PPH) is the most common form of obstetric hemorrhage. This is the main cause of maternal death around the world: the incidence varies among countries and accounts for 27% (in some countries, more than 50%) of direct obstetric maternal deaths, mainly in the postpartum period. Recognizing risk factors for PPH in prenatal care and during childbirth care is the first stage to prevent maternal death from PPH. The objective this review is: To identify the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020. MethodsA protocol for a Systematic Review and Meta-analysis study was developed, supported by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and, registered in the International Prospective Register of Systematic Reviews (PROSPERO). The research question for conducting the review was structured according to the PEOS strategy (P — Populations/People/Patient/ Problem, E — Exposure (s), O — Outcome, S — Study design): P — women aged from 10 to 49 years, in labor; E — risk factors for hemorrhage in the third stage of labor; O — women with hemorrhage during birth and postpartum; S — observational studies (case control and cohort). Thus, the defined question was: what are the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020? As for the planning of electronic searches, databases were consulted by using the platform of the Coordination for the Improvement of Higher Education Personnel in Brazil (CAPES, as per its Portuguese acronym). Due to the characteristics of each database, specific search strategies were chosen for each database. After applying the eligibility criteria, the articles that are selected will have the quality of the evidence evaluated by applying the Grading of Recommendations, Assessment, Development and Evaluation (GRADE), with the online tool GRADEpro GDT.Discussion Prevention and control of hemorrhage must be initiated in the prenatal period, requiring competent professionals to carry out the appropriate clinical evaluation to classify the degree of risk to which the woman is exposed. This systematic review will support the studies of professionals who working in Angola and Brazil.Systematic review registrationPROSPERO available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021219303

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A case report of uterine inversion after home delivery

Clinical Journal of Obstetrics and Gynecology ◽

10.29328/journal.cjog.1001086 ◽

2021 ◽

Vol 4 (2) ◽

pp. 050-054

Author(s):

M Sena-Martins ◽

V Tadini ◽

BG Bolsonaro ◽

C Mariani-Neto ◽

ABN Pires ◽

...

Keyword(s):

Risk Factors ◽

Case Report ◽

Postpartum Haemorrhage ◽

Hypovolemic Shock ◽

Home Birth ◽

Home Delivery ◽

The Third ◽

Uterine Inversion ◽

Third Stage Of Labor ◽

Third Stage

Puerperal acute uterine inversion is a rare obstetric condition observed as a serious complication during the third stage of labor. Reported as one of the causes of postpartum haemorrhage, it commonly requires quick diagnosis and surgical treatment in order to reduce morbidity and lethality. The authors describe a case of uterine inversion with hypovolemic shock after home birth, brought to Hospital Leonor Mendes de Barros. The purpose of this article is to describe a case of acute uterine inversion and its management and a review of aetiology, predictive and risk factors, diagnosis and treatment.

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Active management of the third stage of labor: Does the application mode of oxytocin influence the outcome?

Geburtshilfe und Frauenheilkunde ◽

10.1055/s-0036-1593226 ◽

2016 ◽

Vol 76 (10) ◽

Author(s):

S Weidlinger ◽

E Von Perbandt ◽

T Fischer ◽

R Hornung

Keyword(s):

Active Management ◽

The Third ◽

Third Stage Of Labor ◽

Third Stage ◽

Application Mode

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Bankruptcy Model Construction and its Limitation in Input Data Quality

Journal of Business and Economics ◽

10.15341/jbe(2155-7950)/02.10.2019/003 ◽

2019 ◽

Vol 10 (2) ◽

pp. 117-125

Author(s):

Dana Kubíčková ◽

◽

Vladimír Nulíček ◽

Keyword(s):

Data Quality ◽

Normal Distribution ◽

Input Data ◽

Model Construction ◽

The Third ◽

Third Stage ◽

Discriminant Analyses ◽

One Year ◽

The University ◽

Multivariate Discriminant

The aim of the research project solved at the University of Finance and administration is to construct a new bankruptcy model. The intention is to use data of the firms that have to cease their activities due to bankruptcy. The most common method for bankruptcy model construction is multivariate discriminant analyses (MDA). It allows to derive the indicators most sensitive to the future companies’ failure as a parts of the bankruptcy model. One of the assumptions for using the MDA method and reassuring the reliable results is the normal distribution and independence of the input data. The results of verification of this assumption as the third stage of the project are presented in this article. We have revealed that this assumption is met only in a few selected indicators. Better results were achieved in the indicators in the set of prosperous companies and one year prior the failure. The selected indicators intended for the bankruptcy model construction thus cannot be considered as suitable for using the MDA method.

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