Objective Measurement of Blood Loss following Vaginal Delivery in a UK Hospital

Adam j. Devall*, Christina l. Easter, Malcolm j. Price, Md Asiful Islam, Arri Coomarasamy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background: Postpartum haemorrhage (PPH) is the leading cause of maternal morbidity and mortality worldwide. The reported incidence of PPH varies globally, which is often due to the use of subjective visual estimation of blood loss. The aim of this study was to measure the rate of PPH and severe PPH at a UK hospital using objective measurement of blood loss. Methods: Blood loss after vaginal birth was objectively measured in 2009 women at Birmingham Women’s Hospital, UK using a blood collection drape. Results: The postpartum haemorrhage rate, defined as blood loss of 500 mL or more, was 22.2%. The severe PPH rate, defined as blood loss of 1000 mL or more, was 5.3%. Conclusions: The objective measurement of blood loss following vaginal birth is necessary for the accurate calculation of PPH rates.
Original languageEnglish
Article number236
JournalClinical and Experimental Obstetrics & Gynecology
Volume50
Issue number11
DOIs
Publication statusPublished - 22 Nov 2023

Keywords

  • postpartum haemorrhage
  • severe postpartum haemorrhage
  • objective measurement

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