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    Gricelia Mkumba

    a<p>Includes acute renal failure, acute respiratory distress syndrome, heart failure, cerebral impairment (seizures, unconsciousness, motor/cognitive loss) among women who survived.</p>b<p>The blood loss in transit was... more
    a<p>Includes acute renal failure, acute respiratory distress syndrome, heart failure, cerebral impairment (seizures, unconsciousness, motor/cognitive loss) among women who survived.</p>b<p>The blood loss in transit was measured in 155 women in the Intervention Group and 175 women in the Control Group.</p>c<p>For each group the median and the interquartile range is reported.</p>d<p>For estimation of the effect the variable was transformed into the log metric for normality and the ratio of the mean is reported.</p>e<p>Blood loss after arrival was measured in 267 women in the Intervention Group and 269 women in the Control Group at post-randomization.</p>f<p>Total blood loss was measured in 125 women in the Intervention Group and 123 women in the Control Group at post-randomization.</p>g<p>Hysterectomy among women with diagnosis of uterine atony and complications of abortion.</p>h<p>Shock Index wa...
    Objective: To examine whether women with hypovolemic shock secondary to obstetric hemorrhage are transported to referral hospitals differently depending on weeks of pregnancy in Zambia. Methods: In a retrospective study, transport type,... more
    Objective: To examine whether women with hypovolemic shock secondary to obstetric hemorrhage are transported to referral hospitals differently depending on weeks of pregnancy in Zambia. Methods: In a retrospective study, transport type, wait time, and transit time were assessed for women with obstetric hemorrhage and hypovolemic shock transported from 26 primary health centers to three referral hospitals during 2007-2012. A mean arterial pressure of less than 60 mm Hg was used to indicate severe shock. Women were split into two categories on the basis of the number of weeks of pregnancy (<24 weeks vs 24 weeks). Results: Overall, 616 women were included. Mode of transport differed significantly by group (P < 0.001). 414 (93.0%) of 445 women at 24 weeks of pregnancy or more were transported by ambulance versus 114 (66.7%) of 171 women at less than 24 weeks. Among those in severe shock, 106 (93.0%) of 114 women at 24 weeks of pregnancy or more were transported in ambulances versu...