ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025
Quantitative blood loss values reveal high rates of undiagnosed postpartum hemorrhage.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Article
- A Swift Solution: Early Removal of the JADA Device in the Management of Postpartum Hemorrhage.Cureus · 2026Article
- 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 · 2025Article
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7 authors.
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Abstract
objectiveIn this study, we examined quantitative blood loss (QBL) values and postpartum hemorrhage (PPH) diagnoses in relation to clinical, demographic, and hospitalization related variables.
methodsA retrospective chart review was conducted of deliveries at a regional hospital over a nine-month period, querying patient demographics, PPH diagnosis, blood loss, and hospital stay variables.
resultsPPH was substantially underdiagnosed by current USA guidelines (78%). Deliveries with >1000 mL of blood loss were not diagnosed with PPH (78%), including 84% of cesarean deliveries. Deliveries with >500 mL blood loss were not diagnosed with PPH (92%), including 89% of vaginal deliveries. There was no difference between estimated blood loss (EBL) and QBL levels for all deliveries (P = 0.9981); however, when separated by type of delivery, EBL was underestimated for vaginal deliveries (P = 0.02) and overestimated for cesarean deliveries (P = 0.02). PPH values were both associated with longer hospital stays (P < 0.001), and higher cost of care (P < 0.0001). Compared to Caucasian women, African American and Hispanic/Latina women had higher rates of PPH (P < 0.001 and P < 0.05, respectively).
conclusionQuantitative measurement of blood loss identified many cases of undiagnosed PPH. Additionally, African American and Hispanic/Latina women were more likely to be diagnosed with PPH.
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