These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: The practical utility of routine postpartum hemoglobin assessment.
    Author: Steele HB, Goetzl L.
    Journal: Am J Obstet Gynecol; 2014 Jun; 210(6):576.e1-6. PubMed ID: 24583198.
    Abstract:
    OBJECTIVE: To evaluate a policy of routine versus selective postpartum complete blood count (CBC). STUDY DESIGN: Historic case control design with matched subjects from 1 year periods bracketing the policy change (n = 800). Our primary outcome was postpartum transfusion rate. Univariable and multivariable analyses were performed. Total hospital costs were estimated. RESULTS: Eliminating routine postpartum CBC testing was associated with decreased transfusion rates (5.5% vs 1.8%, P = .007) despite similar transfusion risks. CBC utilization decreased from 59% to 22.2% (P < .0001). No adverse bleeding outcomes occurred. Multivariable modeling suggested that the occurrence of postpartum hemorrhage was the best clinical predictors of transfusion n risk. Tachycardia, oliguria, and symptoms were also effective at identifying transfusion candidates. Elimination of routine CBC was independently associated with a reduced risk of transfusion (odds ratio, 0.30; 95% confidence interval, 0.12-0.72). Annual cost savings were estimated at $58,000. CONCLUSION: Targeted CBC testing results in fewer transfusions, lower costs and improved quality of patient care.
    [Abstract] [Full Text] [Related] [New Search]