Comparison of quantitative and calculated postpartum blood loss after vaginal delivery

Madar, Hugo; Sentilhes, Loïc; Goffinet, François; Bonnet, Marie‐Pierre; Rozenberg, Patrick; Deneux‐Tharaux, Catherine

doi:10.1016/j.ajogmf.2023.101065

Cited by 4 publications

(1 citation statement)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For instance, in carriers of haemophilia, reported PPH rates can range from 0 to 63% across different cohorts. Despite imprecise measurement routines, establishing alert thresholds and responsive management is crucial 52,53 …”

Section: How To Incorporate Women‐specific Outcomes For Women and Gir...mentioning

confidence: 99%

Outcomes and outcome measures

Castaman,

Jimenez‐Yuste,

Gouw

et al. 2024

Haemophilia

View full text Add to dashboard Cite

IntroductionAdvances in haemophilia treatment have resulted in a near‐normal life expectancy, lower burden of bleeding and treatment, and improved quality of life in high‐income countries. Bleeding rate is approaching zero and novel parameters should be evaluated to assess the efficacy of treatment not only from the clinical point of view by using new methodologies (e.g. joint health assessment), but also from the patient's perspective (e.g. pain, quality of life, treatment satisfaction).Methods and resultsThis approach should be aimed at combining objective clinical methodologies and patient‐reported outcomes (PROs). However, some instruments used for assessing PROs are still suboptimal and not properly validated. Recent evidence suggests that these tools can take advantage from a more personalized designed approach and could be effectively improved and serve to facilitate the patient's self‐evaluation. For other congenital bleeding disorders (BDs), a set of patient‐relevant outcomes has been also defined that overlap substantially those of haemophilia, including bleeding, side effects and complications, and PROs, such as pain, physical functioning, impact on daily life including school and work and mental health. There is a growing focus on addressing women‐specific outcomes in BDs, reflecting an increased awareness of the unique challenges faced by women in this context. However, the development of tailored tools is imperative to further advance the progress in managing women with BDs, ensuring more accurate monitoring and personalized care.ConclusionsHow incorporating these outcome measures in the process of approval of novel treatments for these disorders by regulatory authorities remains to be established.

show abstract

Section: How To Incorporate Women‐specific Outcomes For Women and Gir...mentioning

confidence: 99%

Outcomes and outcome measures

Castaman,

Jimenez‐Yuste,

Gouw

et al. 2024

Haemophilia

View full text Add to dashboard Cite

show abstract

Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies: a retrospective analysis

Takahashi,

Sakai,

Kinoshita

et al. 2024

J Anesth

View full text Add to dashboard Cite

Modern methods for assessing blood loss in childbirth and diagnosing postpartum hemorrhage: A review

Belokrinitskaya,

Sidorkina,

Mudrov

2024

Gynecology

View full text Add to dashboard Cite

Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality in Russia and worldwide. Accurate calculation of circulating blood volume (CBV) and personalized estimation of the extent of blood loss (EBL) play vital roles in the early diagnosis of PPH. Visual assessment of BL in childbirth is an available diagnostic method, but it has a high error rate compared to the gravimetric method. A dynamic assessment of the shock index (SI) as an indicator that reflects hemodynamic disorders early enough can be used as an additional diagnostic method for PPH and a test that allows predicting the need for transfusion of blood products. Aim. To review current literature on the assessment of BL in childbirth and the diagnosis of PPH. Materials and methods. The search for publications by Russian and foreign authors was carried out in the information electronic databases PubMed, PubMed Central, Scopus, MEDLINE, ScienceDirect, Cochrane Library, and eLibrary from 2016 to January 2024 using the keywords "obstetric blood loss," "PPH," and "SI." Results. When assessing the CBV, its correlation with the body mass index was revealed. Subjective methods for the PPH assessment have a large margin of error, which does not depend on the experience and seniority of the healthcare provider. The gravimetric method is more accurate, but it can underestimate the clinical situation when physiological blood loss is exceeded. Dynamic assessment of SI is an early marker of hemodynamic disorders and makes it possible to identify patients with a high risk of adverse outcomes more reliably than other parameters. Conclusion. In order to provide timely and adequate emergency medical care for excessive obstetric blood loss, a personalized approach should be used to calculate the EBL, taking into account the woman's body mass index, as well as a systematic assessment of the BL, including at least the extent of blood loss and monitoring of the SI.

show abstract

Comparison of quantitative and calculated postpartum blood loss after vaginal delivery

Cited by 4 publications

References 55 publications

Outcomes and outcome measures

Outcomes and outcome measures

Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies: a retrospective analysis

Modern methods for assessing blood loss in childbirth and diagnosing postpartum hemorrhage: A review

Contact Info

Product

Resources

About