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Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows.

Publication ,  Journal Article
Ahmadzia, HK; Thomas, SM; Murtha, AP; Heine, RP; Brancazio, LR
Published in: Journal of neonatal-perinatal medicine
May 2016

To evaluate experiences related to obstetric hemorrhage and suspected abnormal placentation among first year maternal-fetal medicine fellows.A cross-sectional anonymous survey was administered at the Society for Maternal-Fetal Medicine fellow retreat in March 2013. Fellows were asked about management strategies that reflected both their individual and institutional practices.There was a 56% response rate (55/98). In cases of postpartum hemorrhage due to uterine atony, there was variable use of the uterine tamponade device. The median incremental time for balloon deflation was every 5 hours (IQR = 2-12). Compared to the east coast, fellows from the west coast performed more hysterectomies (mean±SD; 2.9±2.4 vs. 1.2±1.2, p = 0.004). During a peripartum hysterectomy, 29% of fellows used a handheld cautery device such as Ligasure® or Gyrus®. Fifty-six percent responded that their institution never recommend planned delayed hysterectomies for abnormal placental implantation.There is wide variation in practice among first year maternal-fetal medicine fellows in management of peripartum hysterectomy and postpartum hemorrhage.

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Published In

Journal of neonatal-perinatal medicine

DOI

EISSN

1878-4429

ISSN

1934-5798

Publication Date

May 2016

Volume

9

Issue

2

Start / End Page

133 / 137

Related Subject Headings

  • Uterine Inertia
  • Uterine Balloon Tamponade
  • United States
  • Treatment Outcome
  • Pregnancy
  • Practice Patterns, Physicians'
  • Postpartum Hemorrhage
  • Physicians
  • Peripartum Period
  • Obstetrics
 

Citation

APA
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ICMJE
MLA
NLM
Ahmadzia, H. K., Thomas, S. M., Murtha, A. P., Heine, R. P., & Brancazio, L. R. (2016). Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows. Journal of Neonatal-Perinatal Medicine, 9(2), 133–137. https://doi.org/10.3233/npm-16915119
Ahmadzia, H. K., S. M. Thomas, A. P. Murtha, R. P. Heine, and L. R. Brancazio. “Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows.Journal of Neonatal-Perinatal Medicine 9, no. 2 (May 2016): 133–37. https://doi.org/10.3233/npm-16915119.
Ahmadzia HK, Thomas SM, Murtha AP, Heine RP, Brancazio LR. Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows. Journal of neonatal-perinatal medicine. 2016 May;9(2):133–7.
Ahmadzia, H. K., et al. “Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows.Journal of Neonatal-Perinatal Medicine, vol. 9, no. 2, May 2016, pp. 133–37. Epmc, doi:10.3233/npm-16915119.
Ahmadzia HK, Thomas SM, Murtha AP, Heine RP, Brancazio LR. Obstetric hemorrhage survey: Attitudes and practices of maternal-fetal medicine fellows. Journal of neonatal-perinatal medicine. 2016 May;9(2):133–137.

Published In

Journal of neonatal-perinatal medicine

DOI

EISSN

1878-4429

ISSN

1934-5798

Publication Date

May 2016

Volume

9

Issue

2

Start / End Page

133 / 137

Related Subject Headings

  • Uterine Inertia
  • Uterine Balloon Tamponade
  • United States
  • Treatment Outcome
  • Pregnancy
  • Practice Patterns, Physicians'
  • Postpartum Hemorrhage
  • Physicians
  • Peripartum Period
  • Obstetrics