Evidence map›Paper›PMID 25128176›Full record

Trial reportBMC pregnancy and childbirth2014

Calibrated delivery drape versus indirect gravimetric technique for the measurement of blood loss after delivery: a randomized trial.

Shubha Ambardekar, Tara Shochet, Hillary Bracken, Kurus Coyaji, Beverly Winikoff

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01885845 (A Comparison of the Excellent BRASSS-V Drape™ and an Indirect Blood Measurement Protocol for the Measurement of Blood Loss During Third Stage of Vaginal Delivery), which is not on this map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01885845 nacompletednot on this map

A Comparison of the Excellent BRASSS-V Drape™ and an Indirect Blood Measurement Protocol for the Measurement of Blood Loss During Third Stage of Vaginal Delivery

TypeinterventionalSponsorGynuity Health ProjectsRan2005 to 2007Enrolled900ConditionsPostpartum HemorrhageArmsExcellent BRASSS-V Drape™., Indirect weight assesment of blood loss
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Methods for blood loss estimation after vaginal birth.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. Quantitative blood loss values reveal high rates of undiagnosed postpartum hemorrhage.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Estimating blood loss during cesarean delivery: A comparison of methods.Journal of Taibah University Medical Sciences · 2022
    Article
  18. Understanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shubha Ambardekar
Tara ShochetGynuity Health Projects, New York, NY, USA. tshochet@gynuity.org.
Hillary Bracken
Kurus Coyaji
Beverly Winikoff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrials of interventions for PPH prevention and treatment rely on different measurement methods for the quantification of blood loss and identification of PPH. This study's objective was to compare measures of blood loss obtained from two different measurement protocols frequently used in studies.

methodsNine hundred women presenting for vaginal delivery were randomized to a direct method (a calibrated delivery drape) or an indirect method (a shallow bedpan placed below the buttocks and weighing the collected blood and blood-soaked gauze/pads). Blood loss was measured from immediately after delivery for at least one hour or until active bleeding stopped.

resultsSignificantly greater mean blood loss was recorded by the direct than by the indirect measurement technique (253.9 mL and 195.3 mL, respectively; difference = 58.6 mL (95% CI: 31-86); p < 0.001). Almost twice as many women in the direct than in the indirect group measured blood loss > 500 mL (8.7% vs. 4.7%, p = 0.02).

conclusionsThe study suggests a real and significant difference in blood loss measurement between these methods. Research using blood loss measurement as an endpoint needs to be interpreted taking measurement technique into consideration.

trial registrationThis study has been registered at clinicaltrials.gov as NCT01885845.

Indexed as

Blood VolumeDelivery, ObstetricSurgical DrapesAdolescentAdultFemaleHemoglobinsHumansPostpartum HemorrhageYoung AdultHemoglobins

Identifiers

PMID25128176
PMCPMC4141098

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.