NDLI: Effect of Implementing Quantitative Blood Loss Assessment at the Time of Delivery

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Effect of Implementing Quantitative Blood Loss Assessment at the Time of Delivery

Content Provider	Scilit
Author	Coviello, Elizabeth Iqbal, Sara Kawakita, Tetsuya Chornock, Rebecca Cheney, Megan Desale, Sameer Fries, Melissa
Copyright Year	2019
Description	Objective To evaluate the ability of estimated blood loss (EBL) and quantitative blood loss (qBL) to predict need for blood transfusion in women with postpartum hemorrhage (PPH). Study Design This is a retrospective chart review that identified women with PPH (>1,000 mL for vaginal or cesarean delivery) between September 2014 and August 2015, reported by EBL (n = 92), and October 2015 and September 2016, reported by qBL (n = 374). The primary metric was the area under the receiver-operating characteristic curve for blood transfusion. Results The rate of PPH by EBL and qBL was 2.8 and 10.8%, respectively (p < 0.01). The rate of transfusion for women meeting criteria for PPH by EBL and QBL were 2% (66/3,307) and 2.7% (93/3,453), respectively (p = 0.06). Postpartum transfusion was predicted by an EBL of 1,450 mL with AUC 0.826 and qBL 1,519 mL with AUC 0.764, for all modes of delivery. Postpartum vital signs and change in pre- and postdelivery hematocrit were poor predictors for transfusion. Conclusion The rates of PPH increased with the implementation of qBL. Overall, qBL did not perform better than EBL in predicting the need for blood transfusion.
Related Links	http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-1688823.pdf
Ending Page	1336
Page Count	5
Starting Page	1332
ISSN	07351631
e-ISSN	10988785
DOI	10.1055/s-0039-1688823
Journal	American Journal of Perinatology
Issue Number	13
Volume Number	36
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2019-05-14
Access Restriction	Open
Subject Keyword	Journal: American Journal of Perinatology Obstetrics and Gynecology Otorhinolaryngology Postpartum Hemorrhage Blood Transfusion Quantitative Blood Loss Estimated Blood Loss
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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