Patient blood management in obstetrics - Review.

Zdanowicz, Jarmila A.; Surbek, Daniel (2019). Patient blood management in obstetrics - Review. Transfusion and apheresis science, 58(4), pp. 412-415. Elsevier 10.1016/j.transci.2019.06.017

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Patient blood management (PBM) aims to reduce red blood cell transfusion, minimize preoperative anemia, reduce intraoperative blood loss as well as optimize hemostasis, and individually manage postoperative anemia. Benefits include improved clinical outcome with a reduction in patient morbidity and mortality, but also lower hospital costs and shorter hospital length of stay. To date, it has been successfully implemented in several medical specialties, such as cardiac, trauma and orthopedic surgery. In obstetrics, postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality. PBM has the potential to improve outcome of mother and child. However, pregnancy and childbirth pose a special challenge to PBM, and several adaptations compared to PBM in elective surgery are necessary. To date, awareness of the clinical advantages of PBM among obstetricians and midwifes regarding PBM and its concept in PPH is limited. In the following review, we therefore aim to present the current status quo in PBM in obstetrics and its challenges in the clinical routine.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Zdanowicz, Jarmila Anna and Surbek, Daniel

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1473-0502

Publisher:

Elsevier

Language:

English

Submitter:

Monika Zehr

Date Deposited:

24 Dec 2019 09:43

Last Modified:

24 Dec 2019 09:43

Publisher DOI:

10.1016/j.transci.2019.06.017

PubMed ID:

31285133

Uncontrolled Keywords:

Obstetrics Patient blood management Postpartum hemorrhage Red blood cell transfusion

BORIS DOI:

10.7892/boris.136430

URI:

https://boris.unibe.ch/id/eprint/136430

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