International journal of obstetric anesthesia
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Int J Obstet Anesth · Nov 2023
Role of cosyntropin in the management of postpartum post-dural puncture headache: a two-center retrospective cohort study.
Research suggests that postpartum post-dural puncture headache (PDPH) might be prevented or treated by administering intravenous cosyntropin. ⋯ Our data show no benefits from the use of cosyntropin for preventing or treating postpartum PDPH.
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Int J Obstet Anesth · Nov 2023
Predictive performance of Shock Index for postpartum hemorrhage during cesarean delivery.
The Shock Index (SI), defined as heart rate divided by systolic blood pressure, is reportedly an early surrogate indicator for postpartum hemorrhage (PPH). However, most previous studies have used clinical data of women who delivered vaginally. Therefore, we aimed to evaluate the SI pattern during cesarean delivery and determine its usefulness in detecting PPH. ⋯ We determined the pattern of SI during cesarean delivery. We found no correlation between SI and total blood loss. Unlike in vaginal delivery, the prognostic accuracy of SI for PPH detection in cesarean delivery was low.