Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6147353 | American Journal of Obstetrics and Gynecology | 2011 | 8 Pages |
ObjectiveThe purpose of this study was to assess the effectiveness of instituting a comprehensive protocol for the treatment of maternal hemorrhage.Study DesignThe protocol was separated into 4 stages, designated 0-3, based on the degree of blood loss and the patient response to interventions. Key components included admission risk assessment, measurement of blood loss, early but limited use of uterotonic agents, early presence of obstetrical and anesthesia staff, and transfusion with fixed ratios of blood products. Data were collected retrospectively and prospectively relative to the start of the protocol.ResultsWe noted a significant shift toward resolution of maternal bleeding at an earlier stage (P < .01), use of fewer blood products (P < .01), and a 64% reduction in the rate of disseminated intravascular coagulation. In addition, there were significant improvements in staff and physician perceptions of patient safety (P < .01).ConclusionComprehensive maternal hemorrhage treatment protocols improve patient safety and reduce utilization of blood products.