PROGNOSTIC ASPECTS OF THE DEVELOPMENT OF LATE POSTPARTUM OBSTETRIC HEMORRHAGE

Аннотация

Late postpartum hemorrhage (PPH), defined as excessive bleeding occurring after the first 24 hours and up to six weeks postpartum, remains a significant cause of maternal morbidity. This prospective multicenter observational study aimed to identify prognostic factors associated with the development of late PPH and to evaluate their predictive value. A total of 650 postpartum women were enrolled and followed for six weeks postpartum. Data collected included clinical characteristics, obstetric history, laboratory parameters, and imaging findings. Multivariate logistic regression analysis identified key predictors, including uterine subinvolution, retained products of conception, infection markers, and coagulation profile abnormalities [1]. The presence of these factors was significantly associated with an increased risk of late PPH (adjusted odds ratios ranging from 2.1 to 3.5, p < 0.001). These findings underscore the need for targeted surveillance and early intervention strategies in high-risk populationstoimprovematernal outcomes [2]. Keywords: Late postpartum hemorrhage, prognostic factors, uterine subinvolution, retained products ofconception, obstetrichemorrhage, maternal morbidity.