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Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
GAONA-RAMIREZ, Martha Isabel; MARTINEZ-ANDRADE, Miguel Ángel and WHELAN, John Thomas. Timely detection of abnormal postpartum bleeding: use of the gravimetric method to quantify bleeding. Improvement project. Rev. mex. anestesiol. [online]. 2022, vol.45, n.1, pp.23-29. Epub June 13, 2022. ISSN 0484-7903. https://doi.org/10.35366/102899.
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.
Keywords : Bleeding; hemorrhage; postpartum; quantification; gravimetric; cesarean section.