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Visual estimation of blood loss versus quantitative blood loss for maternal outcomes related to obstetrical hemorrhage

Visual estimation of blood loss versus quantitative blood loss for maternal outcomes related to... Abstract Background This study was undertaken to evaluate if there are differences between visual estimation of blood loss (EBL) and quantitative blood loss (QBL) for maternal outcomes related to obstetrical hemorrhage. Methods This retrospective study compared EBL (n = 500) to QBL (n = 501) for outcomes of length of stay, readmission within 30 days of discharge, percent receiving blood transfusions, time between delivery to receiving blood transfusion, and postpartum hemoglobin level. Results The QBL group had a significantly lower mean length of stay than the EBL group (2.6 vs 3.2 days, P < 0.001). Multivariate linear regression analysis adjusting for relevant covariates had a similar finding of lower length of stay for QBL vs EBL (B = −0.13, SE = 0.01, P < 0.001). Readmission within 30 days, blood transfusion, time to transfusion since delivery, and postpartum hemoglobin did not significantly differ between the QBL and EBL groups. Conclusion We recommend that clinicians adopt QBL over EBL as standard practice since QBL is associated with lower length of stay and does not negatively impact other clinical outcomes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Baylor University Medical Center Proceedings Taylor & Francis

Visual estimation of blood loss versus quantitative blood loss for maternal outcomes related to obstetrical hemorrhage

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Visual estimation of blood loss versus quantitative blood loss for maternal outcomes related to obstetrical hemorrhage

Abstract

Abstract Background This study was undertaken to evaluate if there are differences between visual estimation of blood loss (EBL) and quantitative blood loss (QBL) for maternal outcomes related to obstetrical hemorrhage. Methods This retrospective study compared EBL (n = 500) to QBL (n = 501) for outcomes of length of stay, readmission within 30 days of discharge, percent receiving blood transfusions, time between delivery to receiving blood transfusion, and...
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Publisher
Taylor & Francis
Copyright
Copyright © 2023 Baylor University Medical Center
ISSN
1525-3252
eISSN
0899-8280
DOI
10.1080/08998280.2023.2187248
Publisher site
See Article on Publisher Site

Abstract

Abstract Background This study was undertaken to evaluate if there are differences between visual estimation of blood loss (EBL) and quantitative blood loss (QBL) for maternal outcomes related to obstetrical hemorrhage. Methods This retrospective study compared EBL (n = 500) to QBL (n = 501) for outcomes of length of stay, readmission within 30 days of discharge, percent receiving blood transfusions, time between delivery to receiving blood transfusion, and postpartum hemoglobin level. Results The QBL group had a significantly lower mean length of stay than the EBL group (2.6 vs 3.2 days, P < 0.001). Multivariate linear regression analysis adjusting for relevant covariates had a similar finding of lower length of stay for QBL vs EBL (B = −0.13, SE = 0.01, P < 0.001). Readmission within 30 days, blood transfusion, time to transfusion since delivery, and postpartum hemoglobin did not significantly differ between the QBL and EBL groups. Conclusion We recommend that clinicians adopt QBL over EBL as standard practice since QBL is associated with lower length of stay and does not negatively impact other clinical outcomes.

Journal

Baylor University Medical Center Proceedings – Taylor & Francis

Published: May 4, 2023

Keywords: Delivery; length of stay; obstetrics; postpartum hemorrhage

References

  • National partnership for maternal safety: consensus bundle on obstetric hemorrhage
  • Validation of a quantitative system for real-time measurement of postpartum blood loss
  • Postpartum blood loss: visual estimation versus objective quantification with a novel birthing drape
  • Reduction of severe maternal morbidity from hemorrhage using a state perinatal quality collaborative
  • Effect of implementing quantitative blood loss assessment at the time of delivery
  • Anesthesia technique and postpartum hemorrhage: a prospective cohort study
  • Incidences of atonic postpartum hemorrhage and related risk factors at a tertiary hospital in Saudi Arabia
  • Association between anesthetic method and postpartum hemorrhage in Korea based on National Health Insurance Service data
  • A comparative study of epidural labor analgesia and natural delivery without analgesia
  • Use of labor neuraxial analgesia for vaginal delivery and severe maternal morbidity
  • Epidural compared with non-epidural analgesia and cardiopulmonary complications after colectomy: a retrospective cohort study of 20,880 patients using a national quality database
  • The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
  • The impact of postpartum hemorrhage on hospital length of stay and inpatient mortality: a national inpatient sample based analysis