The methods of assessment of postpartum hemorrhage in Ira
Advances in Nursing & Midwifery,
Vol. 25 No. 88 (2016),
10 April 2016
,
Page 17-22
https://doi.org/10.22037/anm.v25i88.9814
Abstract
Abstract
Background and aim: Every year many women lose their lives because of postpartum bleeding in
developing countries including Iran. Inaccurate assessment of postpartum bleeding can cause delay in
treatment and further loss of blood. This study designed to investigate the methods of assessment of
postpartum bleeding in Iran
Materials and methods: This survey is cross sectional study that conducted in 129 obstetric units in 23
provinces in 213. To select centers, to cluster sampling, 23 of the 31 provinces in the country were enrolled.
In the Provinces ,Centers of public hospitals, educational , private and obstetric centers were selected
randomly. A questionnaire consisting of two sections for vaginal delivery and cesarean section was used for
data collection. data analyzed by SPSS software version 19 and Descriptive statistics.
Findings: Most and least used method for assessing blood loss in normal vaginal delivery was, clinical
estimate (93%) and special bag for collecting blood (3/9%). Also in Cesarean delivery , Clinical estimation
(81/8%) and transparent bags of blood collection (3/03%) were the least way.
Conclusion :The visual estimation is the most widely method for estimation of blood loss after birth
Key words: postpartum hemorrhage assessment methods, third stage of labor, postpartum hemorrhage
- postpartum hemorrhage assessment methods
- third stage of labor
- postpartum hemorrhage
How to Cite
References
‐ Abbass Pour Z, et al (2012). [Sensitivity and specificity of blood collection bags in assessing postpartum
hemorrhage]. Guilan University of Medical Sciences Journal. 21(83) 64_58 (persian).
‐ Afshari P, et al(2014). Management of third stage labour following vaginal birth in Iran: A survey of
current policies. Midwifery.30(1)65-71.
‐ Akhlaghi F,Taghipour Bazargani V(2013). [A study on the effect of education by using simulation on post
partum visual blood loss estimation]. Future of Medical Education Journal. 3(3) 29-34(Persian).
‐ Bellad MB, et al(2009). Standardized visual estimation of blood loss during vaginaldelivery with its
correlation hematocrit changes. South Asian Federation of Obstetrics and Gynecology.1(1) 29-34.
‐ Bose P, et al(2006). Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical
reconstructions. BJOG: An International Journal of Obstetrics & Gynaecology. 113(8) 919-24.
‐ Dildy III GA, et al(2004). Estimating blood loss: can teaching significantly improve visual estimation?
Obstetrics & Gynecology. 104(3) 601-6.
‐ Faraji Dar khaneh R, et al (2003). [Prevalence of premature bleeding after cesarean section and its relation
to some factors]. Journal of Guilan University of Medical Sciences. 12(48) 67-71 (persian).
‐ Jerbi M et al (2007) Oxytocin in the third stage of labor. International Journal of Gynecology & Obstetrics.
(3) 198–199.
‐ Keshavarzi F, Kheirollahi E, Khoshai M (2004).[ A survey on the prevalence and causes of severe early
postpartum hemorrhage in Kermanshah] .Journal of Kermanshah University of Medical Sciences 7(4) 43-
(persian).
‐ Khooshideh M, Shahriary A (2004). A comparison between oxytocin and syntometrine for preventing
postpartum hemorrhage. Journal of Reproduction and Infertility.5 (1 ) 52-61.
‐ Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A(2008). Improved accuaracy of postpartum blood loss
estimation as assessed by simulation. Acta Obstetricia et Gynecologica Scandinavica.87(9) 929–34.
‐ Razvi K, et al(1996). A comparison visual estimation and laboratory determination of blood loss during the
third stage of labour. The Australian&New Zeland Journal of Obstetric and Gynaecology.2(36)152-154.
‐ Rath WH(2011) .Postpartum hemorrhage–update on problems of definitions and diagnosis. Acta
Obstetricia et Gynecologica Scandinavica. 90(5) 421-8.
‐ Salehinejad P, Nahidy F(2003).[ Effects of syntocinon intramusular injection time on the rate of
postpartum haemorrhage]. The Journal of Qazvin University of Medical Science.(28) 67-72.
‐ Tall G, Wise D, Grove P, Wilkinson (2003). The accuracy of external blood loss estimation by ambulance
and hospital personnel. Emergency Medicine. 15(4) 318-21.
‐ Tourne G, et al(2004). Usefulnes of a colecting bag for the diagnosis of post-partum hemorhage. Journal
De Gynécologie, Obstétrique Et Biologie De La Reproduction.33(3)229-234.
‐ Williams B, Boyle M(2007). Estimation of external blood loss by paramedics: Is there any Point
.Prehospital and Disaster Medicine. 22(6) 502-6.
‐ Winter, et al(2007). Variations in policies for management of the third stage of labour and the immediate
management of postpartum haemorrhage in Europe. BJOG: An International Journal of Obstetrics &
Gynaecology .114(7) 845–854.
‐ Zhang W-H, et al (2010). Effect of a collector bag for measurement of postpartum blood loss after vaginal
delivery: cluster randomised trial in 13 European countries. BMJ: British Medical Journal. ;340:c293. doi:
1136/bmj.c293.
- Abstract Viewed: 693 times
- PDF Downloaded: 245 times