Postpartum hemorrhage and its relationship to anemia and oxytocin stimulation among Navajo women

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Title Postpartum hemorrhage and its relationship to anemia and oxytocin stimulation among Navajo women
Publication Type thesis
School or College College of Nursing
Department Nursing
Author Darlington, Ann Elizabeth; Lloyd, Thomas Walter
Contributor Lloyd, Heather.
Date 1981-06
Description The purpose of this study was to determine if relationships existed between iron deficiency anemia (diagnosed at labor onset) and postpartum hemorrhage (PPH) and between oxytocin stimulation during labor and PPH among a select group of Navajo women. Data from the medical records of 563 Navajo Women who had vaginal deliveries of full-term, single infants at the Shiprock Indian Health Service Hospital during fiscal year 1975-76 were analyzed. All the women who met the criteria were included in the study. The following variables were analyzed with respect to postpartum hemorrhage: anemia, oxytocin stimulation (including induction and augmentation), age, and parity. The occurrence of PPH (8.7%) in this study was similar to other studies that showed a higher incidence of PPH among Navajo women compared to the general population. The occurrence of anemia was 10.2%, but this could not be compared to other research samples due to variations in both sample selection and definitions of anemia. The occurrence of oxytocin stimulation (both induction and augmentationi) was 11.8%. The occurrence of induction in this study (5.9%) was far less than that reported in the literature (13.5 - 42.1%). No comparison of qugmentation occurrence could be made due to lack of information on augmentation in the literature. When considered alone, no significant associations were found between age and PPH, between parity and PPH, or between age-and parity (for example, 18-35 year old primigravidas) and PPH. A highly significant association (p<0.0001) was shown between anemia and PPH. Significant association were seen between anemia and PPH for all parity groups and for all age groups, except for the ?17 age group. A most surprising finding was that the age-and parity group of anemic women identified as being at highest risk for PPH were those traditionally considered to be the "normal," low-risk, childbearing age and parity groups: 18 - 35 years old with parity 2-6. Before controlling for age and parity, no significant association was demonstrated between oxytocin stimulation and PPH. Significant association were fournd between oxytocin stimulation and PPH controlling for age (p < 0.03) and for parity (p < 0.01). Only one age group (18-35) (p < 0.03) and one parity group (primigravida) (p < 0.01) showed significant association between oxytocin stimulation and PPH. The age-and-parity group of exytocin-stimulated women identified as being at highest risk for PPH were 18-35 year old primigravidas: 35.7% if the women in this group had PPH. No significant association were found between type of oxytocin stimulation (induction and augmentation) and PPH, nor were those women who were both anemic and oxytocin-stimulated found to be at higher risk for PPH than all other in the study.
Type Text
Publisher University of Utah
Subject Childbirth; Navajo Indians; Mothers; Hemorrhage
Subject MESH Postpartum Hemorrhage; Indians, North American
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Postpartum hemorrhage and its relationship to anemia and oxytocin stimulation among Navajo women". Spencer S. Eccles Health Sciences Library. Print version of "Postpartum hemorrhage and its relationship to anemia and oxytocin stimulation among Navajo women". available at J. Willard Marriott Library Special Collection. RG 41.5 1981 D37.
Rights Management © Ann Elizabeth Darlington and Thomas Walter Lloyd.
Format application/pdf
Format Medium application/pdf
Format Extent 1,389,766 bytes
Identifier undthes,4540
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 1,389,813 bytes
ARK ark:/87278/s68c9z4k
Setname ir_etd
ID 191642
Reference URL https://collections.lib.utah.edu/ark:/87278/s68c9z4k
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