Research Article

Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion?

Table 1

Demographic characteristics and clinical variables.

CharacteristicTotalHypopituitarismNormal test value
Patients, n (%)

Age (years), mean (SD)26.35 (±5.83)26.40 (±5.94)26.33 (±6.01)0.951
Menarche (years), mean (SD)11.9 (±1.20)12.40 (±1.14)11.73 (±1.22)0.298
Previous hemorrhage, n (%)1 (5)0 (0)1 (6.7)0.554
Gravida, n (%)
 17 (35)0 (0)7 (46.7)0.077
 26 (30)3 (60)3 (20)
 ≥37 (35)2 (40)5 (33.3)
Cesarean section, n (%)9 (45)1 (20)8 (53.3)0.319
Weeks of gestation, mean (SD)38.16 (±2.29)38.56 (±1.44)38.02 (±2.56)0.745
Hemorrhage etiology, n (%)
 Uterine atony13 (65)3 (60)10 (66.7)0.285
 Preeclampsia/eclampsia1 (5)0 (0)1 (6.7)
 Uterine rupture1 (5)1 (20)0 (0)
 Placenta previa2 (10)1 (20)1 (6.7)
 Vaginal tearing3 (15)0 (0)3 (20)
Hysterectomy, n (%)10 (50)4 (80)6 (40)0.303
Hemorrhage (ml), mean (SD)2070 (±1130.95)2420 (±1247.79)1953.33 (±1110.25)0.439
Infused solutions (ml)3363.15 (±1754.74)4290 (±2237.85)3032.14 (±1508)0.176
RBC units (500 ml each), mean (SD)3.4 (±2.7)4.6 (±3.3)3.1 (±2.5)0.284
Shock grade, n (%)
 25 (25)0 (0)5 (33.3)0.157
 36 (30)3 (60)3 (20)
 49 (45)2 (40)7 (46.7)
Shock index, mean (SD)1.39 (±0.56)1.74 (±0.53)1.27 (±0.54)0.113
Systolic BP, mean (SD)94.9 (±24.79)77.6 (±17.28)100.66 (±24.63)0.07
Diastolic BP, mean (SD)58.1 (±18.00)54.4 (±20.16)59.33 (±17.81)0.825
Heart rate, mean (SD)120.65 (±20.60)128.2 (±12.49)118.13 (±22.45)0.358
Time to stability (minutes), mean (SD)74.21 (±28.34)88.75 (±38.16)70.33 (±25.38)0.26
Hb preevent, mean (SD)12.13 (±1.25)12.1 (±0.58)12.15 (±1.42)0.938
Post Hb, mean (SD)8.92 (±1.90)10 (±2.13)8.56 (±1.74)0.148
Delta Hb, mean (SD)−3.217 (±2.10)−2.1 (±2.12)−3.58 (±2.02)0.119

RBC: red blood cell; BP: blood pressure; Hb: hemoglobin.