A Comparative Study of Two Methods Quantitative Assessment and Alkaline Hematin Method to Estimate Blood Loss During Third Stable of Labour
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Opinion and expertise of a specialist is very much needed during third stage of delivery and to minimize the blood loss and its consequences. Timely intervention is essential to mitigate the problem. There is no uniform and common agreement regarding the amount of blood loss is to be taken as criteria to say PPH. As the percentage of blood loss increases proportionately the risk of complications will increase. Objectives of the study were to estimation of blood loss during third stage of labour and to comparison of blood loss by quantitative assessment with optical density method. Materials and Methods: 200 cases of normal pregnant women who came to Niloufer Hospital for delivery were included during the study. Estimation of blood loss through collection and optical density method was done and both were compared. Patient wise data compiled and analyzed by taking variables like age, parity, weight of the mother and baby and blood volume. Results: Wide variations were observed in both methods. Average (90 ml measured) 190 ml alkaline hematin method. The blood loss by alkaline hematin method was found to be almost double than the blood loss by the measured loss. Conclusion: Blood loss by alkaline hematin method was found to be almost double the measured loss and it is more accurate estimation of blood loss and under estimation of measured blood loss is emphasized. Though this method is accurate and it can’t be used routinely for estimation of blood loss.
Authors and Affiliations
T. Subhashini
Keywords
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