|
KMID : 1101620190300040214
|
|
Perinatology
2019 Volume.30 No. 4 p.214 ~ p.220
|
|
|
Efficacy of Multidisciplinary Clinical Pathway for the Management of Postpartum Hemorrhage
|
|
Kim A-Mi
Kim Sang-Jun
Kim Yoon-Ha
Kim Jong-Woon
Chung Hyun-Ah
Han Kyung-Hwa
Choi Han-Bich
|
|
|
Abstract
|
|
|
Objective: To evaluate the efficacy of the clinical pathway known as the best linkage for expeditious expert decision (BLEED) system that we newly developed for the effective management of postpartum bleeding.
Methods: This study was designed as a retrospective analysis. From January 2015 to May 2019, 155 patients who were treated for postpartum hemorrhage were included in our study. The non-BLEED group included 86 patients who admit with postpartum hemorrhage before the introduction of BLEED system, and the BLEED group included 69 patients who were applied with BLEED system. We compared the outcomes between two groups including duration of hospital stay and amount of transfusion.
Results: Duration of hospital stay was shorter in BLEED group than in non-BLEED group (4.0±1.9 vs. 4.7±2.7 days, P<0.05). Amount of red blood cell transfusion was less in BLEED group than in non-BLEED group (4.7±3.3 vs. 6.4±5.4 units, P<0.05). There were no difference in clinical characteristics, initial laboratory value, time to get a blood transfusion between the two groups. There were no difference between the two groups in terms of management techniques, such as uterotonics, intrauterine balloon tamponade, pelvic artery embolization and cesarean hysterectomy.
Conclusion: BLEED system can be helpful method for the management of patients with postpartum hemorrhage.
|
|
|
KEYWORD
|
|
|
Postpartum hemorrhage, Critical pathways
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|