The shock index – a method to appreciate the postpartum haemorrhage

D. Stroe, C. Mâţ, A.M. Panaitescu, R. Botezatu, L. Mustaţă, G. Iancu, G. Peltecu, N. Gică

Rezumat: The shock index (SI) is calculated by dividing the HR (heart rate) and SBP (systolic blood pressure), and it was proposed in order to identify the patients who needed blood transfusion. We performed a literature review in order to assess the predictive value of SI in women with postpartum hemorrhage (PPH). We searched PubMed, Medline and medical texts pertaining to SI in PPH up to January 2019. We found two studies, including a number of 1191 patients. For the non-pregnant population, the value was set under 0.6, for the pregnant women between 0.75 and 0.83, and in the postpartum patients, between 0.52 and 0.89. The alarm value of the SI was set as 0.9, while critical situations can be announced by values of 1.7. The SI is a good strategy to act earlier for women who are at high risk of adverse outcome.
Cuvinte cheie: postpartum haemorrhage, shock index, blood loss.