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2022, Number 1

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Rev Mex Anest 2022; 45 (1)

Timely detection of abnormal postpartum bleeding: use of the gravimetric method to quantify bleeding. Improvement project

Gaona-Ramírez MI, Martínez-Andrade MÁ, Whelan JT

Language: Spanish
References: 17
Page: 23-29
PDF size: 306.82 Kb.


ABSTRACT

Introduction: Postpartum hemorrhage is a complication, that is not timely detected with the visual estimation of bleeding. Material and methods: A standardized protocol for the gravimetric quantification of postpartum bleeding was implemented to improve the ability to identify abnormal bleeding in patients undergoing caesarean section. A prospective, comparative, non-randomized study evaluated the improvement intervention. Compliance with the protocol, classification of postpartum bleeding before and after intervention; and the association between methodologies for assessing bleeding and postpartum bleeding classification were determined. Fisher z tests, p < 0.05 significant. Results: Compliance with the standardized protocol was 53% (± 0.18). In the post-intervention group, the frequency of abnormal postpartum bleeding increased by 30% with respect to the baseline group (p < 0.05). A significant association was demonstrated between gravimetric quantification of postpartum bleeding and abnormal postpartum bleeding. Conclusion: The implementation of the protocol for the gravimetric quantification of postpartum bleeding was possible. It improved the ability to identify abnormal postpartum bleeding in patients undergoing cesarean section.


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