Obstetric anesthesia

Severity of admission anemia and risk of postpartum hemorrhage: a single-center retrospective cohort study (2024–2025)

Int J Obstet AnesthPublished Secondary analysis of a retrospective cohort study

Primary result · PPHResult — go to the resultAdjusted odds ratio 1.79 95% CI 1.04–2.98

Authors' conclusion

In this cohort, there was an inverse relationship between admission hemoglobin and the PPH rate.

Study context

Population
Vaginal and cesarean deliveries at a single institution
Participants
4,635 deliveries
Comparison
Admission Hb categories
Primary endpoint
PPH rate (quantitative blood loss ≥ 1000 mL)
Methodological detailssingle-centre
  • Single-centre

Primary result

PPH

Adjusted odds ratio

1.79

95% CI 1.04–2.98

By group

Hb 8-8.9 g/dL
aOR 1.79 (95% CI 1.04–2.98)

As reported in the abstract

PPH incidence increased as admission Hb decreased (Cochrane test of trend)
P < 0.001

Further findings

Admission Hb and anemia prevalence

Median admission Hb
11.5 g/dL
Women anemic
32.7%

Original publication

Severity of admission anemia and risk of postpartum hemorrhage: a single-center retrospective cohort study (2024–2025). Int J Obstet Anesth. Published 26 April 2026. doi:10.1016/j.ijoa.2026.105192

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