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Automated physician alerts for postpartum hemorrhage after vaginal delivery: a prospective pilot study to evaluate a 500 mL trigger threshold

Published:January 05, 2023DOI:https://doi.org/10.1016/j.ijoa.2023.103626
      Postpartum hemorrhage (PPH) continues to be a leading cause of preventable maternal morbidity and mortality worldwide. An analysis of United States (US) deliveries from 2010 to 2014 demonstrated an increased incidence of PPH across time (2.9–3.2%), along with increasing morbidity from acute renal failure.
      • Reale S.C.
      • Easter S.R.
      • Xu X.
      • Bateman B.T.
      • Farber M.K.
      Trends in postpartum hemorrhage in the United States From 2010 to 2014.
      Preventable morbidity and mortality from PPH frequently results from delayed recognition and treatment. While anesthesiologists have the ideal skillset to provide resuscitation when PPH occurs,
      • Lim G.
      • Facco F.L.
      • Nathan N.
      • Waters J.H.
      • Wong C.A.
      • Eltzschig H.K.
      A review of the impact of obstetric anesthesia on maternal and neonatal outcomes.
      they are not routinely present in the labor room after vaginal delivery. Systems to promptly notify the anesthesia team when PPH occurs after vaginal delivery warrant further study.
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      References

        • Reale S.C.
        • Easter S.R.
        • Xu X.
        • Bateman B.T.
        • Farber M.K.
        Trends in postpartum hemorrhage in the United States From 2010 to 2014.
        Anesth Analg. 2020; 130: e119-e122
        • Lim G.
        • Facco F.L.
        • Nathan N.
        • Waters J.H.
        • Wong C.A.
        • Eltzschig H.K.
        A review of the impact of obstetric anesthesia on maternal and neonatal outcomes.
        Anesthesiology. 2018; 129: 192-215
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      3. Maternal mortality. World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed April 9, 2022.