Evaluating the Shock Index as a Predictive Tool for Adverse Maternal Outcomes in Postpartum Hemorrhage: A Prospective Observational Study

Authors

  • Dr. Raja Rajeswari, Dr. Meena Priyadharshini V, Kannuschruthi, Dr. Thiruveni Senthilvel, Dr. Reema Bhatt Author

DOI:

https://doi.org/10.48047/

Keywords:

Postpartum hemorrhage, Shock Index, Maternal outcomes, Systolic blood pressure, Diastolic blood pressure, Mean arterial pressure, Hemodynamic instability

Abstract

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality 
worldwide. Traditional methods of estimating blood loss and monitoring vital signs often 
delay intervention. The Shock Index (SI), calculated as heart rate divided by systolic blood 
pressure, is a potential early indicator of hemodynamic instability in PPH.Aim was
to evaluate the role of SI and other vital signs like mean arterial pressure (MAP), pulse 
pressure (PP) and diastolic blood pressure (DBP) in predicting adverse maternal outcomes 
following PPH. 

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Published

2024-03-01