Nearly one-quarter of all maternal pregnancy-related deaths worldwide are a result of post-partum hemorrhage (PPH) . In the Joint Commission’s Sentinel Event Database, hemorrhage was a causal factor in over half of the cases leading to maternal death or severe morbidity . Between 1993 and 2014, the rate of PPH per 10,000 delivery hospitalizations increased by almost five times, from 4.3 to 21.2 . Using visualization to estimate blood loss is currently the primary method for assessment. However, a new, alternative assessment technique is using quantitative measurement. These two techniques were compared through a literature review. The literature review was conducted using MEDLINE Complete and CINAHL Complete, and five studies were identified. These studies were appraised and synthesized to answer the PICO question: in post-partum mothers, is the use of quantitative blood loss assessment or visually estimated blood loss effective in the early identification of PPH? The literature indicated that using a quantitative method to estimate postpartum blood loss early is more effective than using a visual estimation method and may reduce the number of PPHs. These findings can be implemented into nursing practice by incorporating a quantitative blood loss assessment protocol for post-partum mothers. Annual simulation-based training on this new method may be an appropriate means of educating point-of-care healthcare providers. With these changes, health care facilities should collect morbidity and mortality rates, incidence rates, treatment rates, and the time-to-treat rate to measure the effectiveness of the quantitative blood loss method.
Collier, Hannah E. and Crawford, Ryan
"Quantitatively Assessed Blood Loss Compared to Visually Estimated Blood Loss in the Early Identification and Treatment of Post-partum Hemorrhage,"
University of South Carolina Upstate Student Research Journal: Vol. 13, Article 8.
Available at: https://scholarcommons.sc.edu/uscusrj/vol13/iss1/8