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

J Matern Fetal Neonatal Med. 2018 Jan;31(1):106-115 doi: 10.1080/14767058.2016.1274302.

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.

KEYWORDS: Third stage of labor; midwifery education; obstetric complication; postpartum care
MESH HEADINGS: Female; Humans; Postpartum Hemorrhage; Postpartum Period; Pregnancy
Study Details
Study Design: Systematic Review
Language: eng
Credits: Bibliographic data from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine