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https://www.clinicaltrials.gov/ct2/show/NCT00462839
Apr 19, 2007 · Post-partum hemorrhage (PPH) is defined as blood loss greater than 500 mL after vaginal delivery. Delayed diagnosis of PPH is a major cause of maternal morbidity and mortality. Obstetricians estimate blood loss at delivery by visual estimation of blood collected in the obstetric drapes. Blood is often mixed with urine and surgical sponges.
https://www.cochrane.org/CD010980/PREG_methods-estimating-blood-loss-after-vaginal-birth-improve-maternal-outcomes
Sep 13, 2018 · Overall, the evidence in this review is insufficient to support the use of one method over another for blood loss estimation after vaginal birth. In general, the quality of evidence for our predefined outcomes ranged from low to high quality, with downgrading decisions due to imprecision.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971452/
This study evaluated patients aged ≥ 18 years with low-risk term pregnancies, who delivered vaginally. Immediately after delivery, a birth attendant inserted the drape under the patient’s buttocks. Postpartum blood loss was measured by visual estimation and then …Author: Tripop Lertbunnaphong, Numporn Lapthanapat, Jarunee Leetheeragul, Pussara Hakularb, Amporn Ownon
https://www.jognn.org/article/S0884-2175(15)31768-8/fulltext
Table 2 Tips for Quantification of Blood Loss (QBL) During Cesarean Births; 1. Begin the process of QBL when the amniotic membranes are ruptured or after the infant is born. 2. Suction and measure all amniotic fluid within the suction canister of collected fluid before delivery of the placenta.
https://www.uptodate.com/contents/overview-of-postpartum-hemorrhage?search=post%20partum%20hemorrhage&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
Although PPH is classically defined by the volume of blood loss (ie, estimated blood loss ≥500 mL after vaginal birth or ≥1000 mL after cesarean delivery), this diagnosis is problematic because bleeding may not be visible externally or blood in collection devices may be mixed with amniotic fluid.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525346/
Mar 03, 2014 · Estimating blood loss is discussed in the second part, including a picture that displays four bloody pads and the related amounts of blood loss for each one. The other method for estimating blood loss is the weighting method. The direct method (weighting) is one of the ancient methods for estimating the correct amount of bleeding.
https://www.jognn.org/article/S0884-2175(15)31184-9/fulltext
Accurate quantification of blood loss is an essential skill necessary to prevent maternal morbidity and mortality associated with obstetric hemorrhage. Visual estimation of blood has been consistently shown to be extremely inaccurate. The nurse plays a pivotal role in quantifying blood loss after birth, recognizing triggers, mobilizing needed interventions, and providing essential communication.Author: Kristi T. Gabel, Tracy A. Weeber
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2019/12/Quantitative%20Blood%20Loss%20in%20Obstetric%20Hemorrhage
Begin quantification of blood loss immediately after the infant’s birth (before delivery of the placenta) and assess and record the amount of fluid collected in a calibrated under-buttocks drape. Keep in mind that most of the fluid collected before delivery of the placenta is amniotic fluid, urine, and feces.
https://opus.lib.uts.edu.au/bitstream/10453/5571/3/2006014632.pdf
Estimating blood loss after birth: Using simulated clinical examples Abstract Aim: To determine the accuracy of the estimation of blood loss using simulated clinical examples. Setting: Over 100 attendees came together at a seminar about postpartum haemorrhage in June 2006. Five blood loss assessment stations were constructed, each containing a ...
http://www.pphproject.org/downloads/awhonn_qbl.pdf
Estimating blood loss: Can teaching significantly im- ... Discrepancy between laboratory determination and visual esti-mation of blood loss during normal delivery. European Journal of Obstetrics & Gynecology and Reproductive Biology, 38,119 ... Quantification of Blood Loss: AWHONN Practice Brief Number 1 ...File Size: 72KB
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