Quantifying Blood Loss in Labor and Delivery

How I Practice Video Series
David Lagrew, MD, FACOG

HIP: Quantifying Blood Loss in Labor and Delivery from ACOG on Vimeo.


I do quantitative blood loss measurements on all my deliveries. In a vaginal delivery, we actually use the under buttocks drape with the graduated measuring portion that allows us to accurately show how much blood has been lost during the delivery and then in caesarian sections we carefully measure what’s in the container as well as weighing all the sponges carefully and tracking that information. That information’s put directly into our electronic medical record and in that fashion it will automatically calculate and give us the quantitative blood loss. We’ve found that these are extremely helpful and much more accurate than our estimated blood loss techniques that we used prior to these measures. And we think it’s vitally important because we use this in our hemorrhage protocol to drive interventions and potentially protect the mother from getting to a state where we need to transfuse blood or other morbidities that can happen with obstetrical hemorrhage. We’ve found most of these techniques worked by using the guidelines that are listed at the CMQCC website and have found that a very rich resource of ideas and things that we can follow. And that’s the way I practice.


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