• Int J Gynaecol Obstet · Jun 2006

    Randomized Controlled Trial Comparative Study

    Drape estimation vs. visual assessment for estimating postpartum hemorrhage.

    • A Patel, S S Goudar, S E Geller, B S Kodkany, S A Edlavitch, K Wagh, S S Patted, V A Naik, N Moss, and R J Derman.
    • John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA. ashleshapatel16@yahoo.com
    • Int J Gynaecol Obstet. 2006 Jun 1; 93 (3): 220-4.

    ObjectiveTo compare (1) visual estimation of postpartum blood loss with estimation using a specifically designed blood collection drape and (2) the drape estimate with a measurement of blood loss by photospectrometry.MethodsA randomized controlled study was performed with 123 women delivered at the District Hospital, Belgaum, India. The women were randomized to visual or drape estimation of blood loss. A subsample of 10 drape estimates was compared with photospectrometry results.ResultsThe visual estimate of blood loss was 33% less than the drape estimate. The interclass correlation of the drape estimate to photospectrometry measurement was 0.92.ConclusionDrape estimation of blood loss is more accurate than visual estimation and may have particular utility in the developing world. Prompt detection of postpartum hemorrhage may reduce maternal morbidity and mortality in low-resource settings.

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