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The more you lose the more you miss: accuracy of postpartum blood loss visual estimation. A systematic review of the literature

a School of Nursing , Azienda Ospedaliera Universitaria Policlinico di Bari, University of Bari "Aldo Moro" , Bari , Italy. b Department of Obstetrics and Gynecology , Azienda Ospedaliera Universitaria Policlinico di Bari, School of Medicine, University of Bari "Aldo Moro" , Bari , Italy. c Department of Obstetrics and Gynecology , Soroka University Medical Center, School of Medicine, Ben Gurion University of the Negev , Beer Sheva , Israel. d Department of Obstetrics and Gynecology , Ospedale Macedonio Melloni, University of Milano , Milano , Italy.

The Journal of Maternal-Fetal & Neonatal Medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 2018;31(1):106-115
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Abstract
Midwives and nurses have a key role in monitoring postpartum period. They represent the first line professional figure in quantifying blood loss, initiating early diagnosis of obstetric hemorrhage, and mobilizing a team response, if needed. These actions are crucial in determining maternal outcome in postpartum hemorrhage (PPH). In our review we aimed to: (1) Provide a picture of PPH including its pathophysiology, epidemiology, and associated complications; (2) Discuss diagnosis of this dangerous postpartum event; and, (3) Especially evaluate the efficiency of the employment of visual blood loss estimation as a rapid way to suspect PPH and activate the patient assessment.
Study details
Study Design : Systematic Review
Language : eng
Credits : Bibliographic data from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine