Evidence map›Paper›PMID 39934707›Full record

ArticleBMC pregnancy and childbirth2025

A rapid and effective approach to building a life-saving multidisciplinary team for transferred postpartum haemorrhage patients: leveraging trauma experience-a retrospective study.

Pei-Hsiu Yu, Kuo-Shu Hung, Lin Kang, Tsung-Han Yang, Chun-Hsien Wu, Pei-Yin Tsai, Chih-Jung Wang, Yi-Ting Yen, Chen-Hsiang Yu, Chiung-Hsin Chang

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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Development and Future Perspectives of Obstetric Intensive Care Units in China.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
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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

10 authors.

Pei-Hsiu YuDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Kuo-Shu HungDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Hospital, Tainan, Taiwan.
Lin KangDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Tsung-Han YangDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Hospital, Tainan, Taiwan.
Chun-Hsien WuDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Hospital, Tainan, Taiwan.
Pei-Yin TsaiDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih-Jung WangDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Hospital, Tainan, Taiwan. poemcage@gmail.com.
Yi-Ting YenDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Hospital, Tainan, Taiwan.
Chen-Hsiang YuDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chiung-Hsin ChangDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstablishing an efficient multidisciplinary team for transferred postpartum haemorrhage (PPH) cases is challenging due to limited clinical exposure. We hypothesised that leveraging trauma team experience could effectively facilitate the development of such a team within a short timeframe.

methodsIn September 2019, a multidisciplinary team was established at our tertiary care centre to provide rapid management of critical PPH cases transferred from the obstetric clinic, prioritising immediate resuscitation and haemostatic interventions. This historical cohort study (2017-2022) compared outcomes before (2017-2018, before group [BG]) and after (2019-2022, after group [AG]) team establishment. Outcomes included process-related quality indicators, clinical measures such as length of hospital stay, intensive care unit (ICU) days, presence of the lethal triad, and hysterectomy rate.

resultsOf the 71 PPH patients transferred during the study period, 24 were in the BG and 47 in the AG. The AG demonstrated higher use of tranexamic acid (33.33% vs. 74.47%, P = 0.002), shorter time to the first blood transfusion (11 vs. 8 min, P = 0.029), and increased rates of arrival in the operating room within 60 min (25% vs. 80%, P = 0.014). Clinical outcomes showed reduced rates of cardiopulmonary resuscitation (16.67% vs. 0%, P = 0.011) and shorter ICU stays (4 vs. 1 day, P = 0.005) in the AG.

conclusionsLeveraging trauma team expertise is an effective strategy for establishing a multidisciplinary PPH team, significantly improving outcomes for critically ill PPH patients transferred from obstetric clinics.

Indexed as

Patient Care TeamPatient TransferPostpartum HemorrhageAdultBlood TransfusionFemaleHumansHysterectomyIntensive Care UnitsLength of StayPregnancyResuscitationRetrospective StudiesTertiary Care CentersTranexamic AcidTranexamic AcidBlood transfusionMultidisciplinary teamPatient transferPostpartum haemorrhageTeam trainingTrauma team

Identifiers

PMID39934707
PMCPMC11817719

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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.