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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 1/2016

01-10-2016 | Original Article

Quantification of Peri-partum Blood Loss: Training Module and Clot Conversion Factor

Authors: Suvarna Satish Khadilkar, Akanksha Sood, Prajakta Ahire

Published in: The Journal of Obstetrics and Gynecology of India | Special Issue 1/2016

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Abstract

Objectives

To design an objective and accurate method to assess the peri-partum blood loss and to document the benefits of using this method on estimation of blood loss by healthcare professionals.

Materials and Methods

This prospective study was conducted over 6 months at Cama Albless Hospital, Mumbai. To quantify the loss of liquid blood and clots, we made use of plastic drapes, measuring jars, gravimetric method and a training module along with novel clot conversion factor which was designed to validate the visual assessment of blood loss by healthcare professionals.

Results and Conclusion

The visual assessment of blood loss is unreliable. Training module should be on display in labor room and periodic training sessions on visual assessment by and for healthcare professionals are recommended, as we documented that training has definitely a beneficial impact on visual assessment. Clot conversion factor calculated in this study can prove to be a useful tool for objective assessment. Routine use of quantitative measurement rather than visual assessment of blood loss will go a long way to prevent hemorrhage-related maternal deaths.
Literature
1.
Khan KS, Wojdyla D, Say L, et al. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367(9516):1066–74.CrossRefPubMed
2.
Glover P. Blood loss at delivery: how accurate is your estimation? Aust J Midwifery. 2003;16(2):21–4.CrossRefPubMed
3.
Toteja GS, Singh P, Dhillon BS, et al. Prevalence of anemia among pregnant women and adolescent girls in 16 districts of India. Food Nutr Bull. 2006;27(4):311–5.CrossRefPubMed
4.
Schorn MN. Measurement of blood loss: review of the literature. J Midwifery Womens Health. 2010;55(1):20–7.CrossRefPubMed
5.
Bose P, Regan F, Paterson-Brown S, et al. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG. 2006;113(8):919–24.CrossRefPubMed
6.
Yoong W, Karavolos S, Damodaram M, et al. Observer accuracy and reproducibility of visual estimation of blood loss in obstetrics: how accurate and consistent are health-care professionals? Arch Gynecol Obstet. 2010;281(2):207–13.CrossRefPubMed
7.
Al-Kadri HM, Dahlawi H, Al Airan M, et al. Effect of education and clinical assessment on the accuracy of postpartum blood loss estimation. BMC Pregnancy Childbirth. 2014;14:110.CrossRefPubMedPubMedCentral
8.
Toledo P, McCarthy RJ, Hewlett BJ, et al. The accuracy of blood loss estimation after simulated vaginal delivery. Anesth Analg. 2007;105(6):1736–40.CrossRefPubMed
9.
Patel A, Goudar SS, Geller SE, et al. Drape estimation vs. visual assessment for estimating postpartum hemorrhage. Int J Gynaecol Obstet. 2006;93(3):220–4.CrossRefPubMed
10.
Zuckerwise LC, Pettker CM, Illuzzi J, et al. Use of a novel visual aid to improve estimation of obstetric blood loss. Obstet Gynecol. 2014;123(5):982–6.CrossRefPubMed
11.
Cheerranichanunth P, Poolnoi P. Using blood loss pictogram for visual blood loss estimation in cesarean section. J Med Assoc Thail. 2012;95(4):550–6.
12.
Sukprasert M, Choktanasiri W, Ayudhya NI, et al. Increase accuracy of visual estimation of blood loss from education programme. J Med Assoc Thai. 2006;89(Suppl. 4):S54–9.PubMed
Metadata
Title
Quantification of Peri-partum Blood Loss: Training Module and Clot Conversion Factor
Authors
Suvarna Satish Khadilkar
Akanksha Sood
Prajakta Ahire
Publication date
01-10-2016
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue Special Issue 1/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-016-0888-9

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