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

Journal Article (Journal Article)


To evaluate experiences related to obstetric hemorrhage and suspected abnormal placentation among first year maternal-fetal medicine fellows.

Study design

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.

Full Text

Duke Authors

Cited Authors

  • Ahmadzia, HK; Thomas, SM; Murtha, AP; Heine, RP; Brancazio, LR

Published Date

  • May 2016

Published In

Volume / Issue

  • 9 / 2

Start / End Page

  • 133 - 137

PubMed ID

  • 27197937

Electronic International Standard Serial Number (EISSN)

  • 1878-4429

International Standard Serial Number (ISSN)

  • 1934-5798

Digital Object Identifier (DOI)

  • 10.3233/npm-16915119


  • eng