Evaluation of measured postpartum blood loss after vaginal delivery using a collector bag in relation to postpartum hemorrhage management strategies: a prospective observational study
-
Christian Bamberg
,
Katja Niepraschk-von Dollen
Abstract
Aim: To evaluate the incidence of postpartum hemorrhage (PPH) and severe PPH via routine use of a pelvic drape to objectively measure blood loss after vaginal delivery in connection with PPH management.
Methods: This prospective observational study was undertaken at the obstetrical department of the Charité University Hospital from December 2011 to May 2013 and evaluated an unselected cohort of planned vaginal deliveries (n=1019 live singletons at term). A calibrated collecting drape was used to meassure blood loss in the third stage of labor. PPH and severe PPH were defined as blood loss ≥500 mL and ≥1000 mL, respectively. Maternal hemoglobin content was evaluated at admission to delivery and at the first day after childbirth.
Results: During the study period, 809 vaginal deliveries were analysed. Direct measurement revealed a median blood loss of 250 mL. The incidences of PPH and severe PPH were 15% and 3%, respectively. Mean maternal hemoglobin content at admission was 11.9±1.1 g/dL, with a mean decrease of 1.0±1.1 g/dL. Blood loss measured after vaginal delivery correlated significantly with maternal hemoglobin decrease.
Conclusions: This study suggests that PPH incidence may be higher than indicated by population-based data. Underbuttocks drapes are simple, objective bedside tools to diagnose PPH. Blood loss should be quantified systematically if PPH is suspected.
Acknowledgments
None of the authors have a conflict of interest. The author’s laboratory and study group received grants from CSL Behring.
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The authors stated that there are no conflicts of interest regarding the publication of this article.
©2016 by De Gruyter
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Artikel in diesem Heft
- Frontmatter
- Editorial
- Obesity and gestational diabetes in pregnancy: an evolving epidemic
- Original articles - Diabetes
- Is omitting the 3rd hour measurement in the 100 g oral glucose tolerance test feasible?
- Maternal hypoglycemia on 50 g glucose challenge test: outcomes are influenced by fetal gender
- Biological and biochemical characteristics of a Mediterranean population with Gestational Diabetes Mellitus
- Maternal and perinatal outcomes after bariatric surgery: a case control study
- A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies
- The relationship between cesarean section rate in term singleton pregnancies, maternal weight, and weight gain during pregnancy
- Antenatal body mass index (BMI) and weight gain in pregnancy – its association with pregnancy and birthing complications
- A clinical study which relates to a theoretical simulation of the glucose transport in the human placenta under various diabetic conditions
- Academy’s Corner
- American medical education: the evolution of excellence
- Original articles - Obstetrics
- Is epidural analgesia during labor related to retained placenta?
- Preventing intellectual disability during pregnancy: what are the potentially high yield targets?
- Evaluation of measured postpartum blood loss after vaginal delivery using a collector bag in relation to postpartum hemorrhage management strategies: a prospective observational study
- Original articles - Fetus
- Mutation analysis and prenatal diagnosis in a Chinese family with succinic semialdehyde dehydrogenase and a systematic review of the literature of reported ALDH5A1 mutations
- Original articles - Newborn
- Neurological disease or intellectual disability among sons of female Swedish dental personnel
- Seeking the best training model for difficult conversations in neonatology
- Meconium aspiration syndrome in infants of HIV-positive women: a case-control study
- Dopamine treatment does not need speed recovery of newborns from transient tachypnea
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- Congress Calendar
