A survey of interventional radiology for the management of obstetric haemorrhage in the United Kingdom

Webster, Vana; Stewart, Robert Scott; Stewart, Peter

doi:10.1016/j.ijoa.2009.10.010

Cited by 13 publications

(7 citation statements)

References 23 publications

(24 reference statements)

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“…Recognition and treatment of obstetric haemorrhage are often delayed as clinical presentations of hypovolaemia are masked by the physiological changes related to normal pregnancy. Nowadays, blood transfusion remains to be the most important lifesaving treatment in the management of obstetric haemorrhage . In the present study, we enrolled 355 obstetric patients.…”

Section: Discussionmentioning

confidence: 99%

Blood transfusion‐related immunomodulation in patients with major obstetric haemorrhage

Jiao

Zheng

2019

Vox Sanguinis

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Background Blood transfusion is suggested to be immunosuppressive in surgical patients. However, the immunomodulatory effect of blood transfusion in obstetric patients with massive haemorrhage remains unknown.Methods Three hundred and fifty-five patients at active labour in the obstetric department were enrolled, and clinical characteristics were extracted from electrical medical records, inpatient notes, anaesthesia notes and discharge summaries. The transfused blood products included RBC, FFP and PLTs. RT-PCR was used to quantify gene expression in the blood samples, and the Spearman rank correlation coefficient was used to test correlation.Results Among the 355 patients, 138 received a diagnosis of obstetric haemorrhage and were treated with blood transfusion. The risk factors for blood transfusion included maternal age, gestational age, preterm labour and instrumental delivery. The infants delivered by the transfusion group had significantly lower birthweight and 1-and 5-min Apgar scores. Most importantly, blood transfusion is associated with a broad suppression of Th cells and an increased IL-10 response.Conclusions Our results show that blood transfusion is associated with immunomodulation in obstetric haemorrhage patients, suggesting more stringent criteria for blood transfusion should be taken into account in the obstetric haemorrhage patients.

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Section: Discussionmentioning

confidence: 99%

Blood transfusion‐related immunomodulation in patients with major obstetric haemorrhage

Jiao

Zheng

2019

Vox Sanguinis

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“…Selective use of IR with arterial balloon occlusion or embolization may reduce overall blood loss and improve surgical outcome in treating massive maternal hemorrhage [46]. A national survey [14] using postal questionnaire was conducted in the UK in 2007 to investigate the availability and use of IR and its effectiveness in controlling OH. The availability and standard application of IR for OH were limited to large hospitals.…”

Section: Obstetric Hemorrhagementioning

confidence: 99%

The Contribution of Technological Approaches in Reducing Maternal Mortality: An Integrative Review

Naz

Sasso

Khanum

et al. 2016

OJN

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Aim:To analyze the role of available health technologies and techniques in reducing the number of women dying during pregnancy and childbirth. Background: Health condition of women during pregnancy and childbirth is very sensitive. During this period, proper and timely care plays an important role in reducing maternal mortality. Design: Whitte more and Knafl's framework for integrative reviews was followed in the review. PUBMED/MEDLINE, CINHAL and COCHRANE were searched for published studies between 2008 and 2015. Studies included were systematic reviews, randomized control trials, prospective cohort study, literature review and descriptive studies. Methods: 28 articles were selected to be included in the review. An integrative review approach was followed to analyze data and draw conclusions. Screening of titles and abstracts along with data extraction was completed by two authors independently. Study quality is not reported because of the methodological difficulties. Data synthesis consists of writing descriptive summaries and thematic analysis of the key findings in the included articles. Results: The included studies were based on health technologies and techniques including different devices and tools, medication and drugs, massage techniques, immersion in water, intervention radiology, simulations and training for the health professional. Conclusion: There are numerous health technologies and techniques which are relatively simple to develop, effective to use and safe to apply with no adverse effects. These include simulations and training programs, educational and awareness programs, decision support tools and information systems. Besides these, there are technologies and techniques which show promising results with no or very little adverse effects. These include Ac-* Corresponding author. N. Naz et al. 134 tive management of the third stage of labour, use of magnesium sulphate, uterine balloon tamponade, wearable cardiac defibrillator and non-pneumatic anti-shock garment. The government, hospitals and care providers should make policies to develop and implement such type of technologies and techniques.

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“…In the UK, only 29% of units have 24 h availability. 13 Hysterectomy should be discussed with patients in whom MOH is predicted (e.g. placenta percreta).…”

Section: Anaesthetic Techniquementioning

confidence: 99%

Major obstetric haemorrhage

Plaat

Shonfeld

2015

BJA Education

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A survey of interventional radiology for the management of obstetric haemorrhage in the United Kingdom

Cited by 13 publications

References 23 publications

Blood transfusion‐related immunomodulation in patients with major obstetric haemorrhage

Blood transfusion‐related immunomodulation in patients with major obstetric haemorrhage

The Contribution of Technological Approaches in Reducing Maternal Mortality: An Integrative Review

Major obstetric haemorrhage

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