The Facts
11%
What is the leading cause of maternal mortality and morbidity, yet highly preventable?
Obstetric hemorrhage.
What are the 4 T's?
Tone, Tissue, Thrombin, and Trauma
Top drawer Contents are?
IV, IM needles, and lab supplies.
One item needed
Scale
QBL is recommended by the following organizations
CMQCC, AWHONN, National maternal health initiative, and ACOG.
Inaccuracies from EBL come from?
amniotic fluid contamination, urine, clots
Uterine atony is the contributing factor how much of the time?
75-90%
What is in the 2nd drawer?
Blood tubing, fluids, and pressure bags
Another item needed
calculator
What percentage are we off by when we visually estimate blood?
30-50%
Is QBL 100% accurate?
No, but more accurate then EBL
Clinical factors that contribute to obstetric hemorrhage include:
overdistention of uterus, chorio, precip labor, extended oxytocin use, mag sulfate use
What is in drawer 3?
Sterile gloves, gown, gel
A different item needed
Suction canister
QBL should happen....
Every birth every time!!
Why is QBL standard for measuring blood loss, every birth every time?
If we don't use it for all cases then when we need it we will not know how to do it. We don't recognize we need it until it is late in the game.
How long after birth should be be adding to the total QBL?
2 hours postpartum should be included in total QBL
What is in the fourth drawer?
Jada/bakri and tubing, sterile water, laps, swabs, vaginal packing, 60mL syringes
Something else?
Education