Incorporating a postpartum hemorrhage bundle on the labor and delivery unit: a state-wide survey of anesthesiologists in Massachusetts

Villela-Franyutti, D.; Hackett, K.; Lumbreras-Márquez, Mario Isaac; Farber, M.K.

doi:10.1016/j.ijoa.2023.103893

Incorporating a postpartum hemorrhage bundle on the labor and delivery unit: a state-wide survey of anesthesiologists in Massachusetts

Journal

International Journal of Obstetric Anesthesia

ISSN

0959-289X

Date Issued

2023

Author(s)

Villela-Franyutti, D.

Hackett, K.

Lumbreras-Márquez, Mario Isaac

Facultad de Ciencias de la Salud - CampCM

Farber, M.K.

Type

text::journal::journal article

DOI

10.1016/j.ijoa.2023.103893

URL

https://scripta.up.edu.mx/handle/20.500.12552/4947

Abstract

Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality, and multidisciplinary focus is a priority. The American College of Obstetricians and Gynecologists recommends use of a PPH bundle to facilitate early recognition and timely intervention. 1 As experts in critical care and transfusion, obstetric anesthesiologists play a vital role in PPH resuscitation. 2 However, anesthesiologists may be inconsistently engaged in PPH bundle implementation, and their attention to pre-delivery risk assessment, early recognition and development of institutional protocols is warranted. In this study, we sought to evaluate anesthesiologists’ perspectives on how PPH is managed at birthing facilities in the state of Massachusetts. Massachusetts has one of the lowest maternal mortality rates in the United States of America, but it is higher than that of other developed nations. 3 Moreover, PPH is a leading primary or secondary cause of maternal death in the state. 4 We hypothesized that anesthesia involvement in PPH bundle implementation varies across institutions and that there is the potential for improvement in PPH bundle implementation.Copyright © 2024 Elsevier Inc.