Clinical interventions are more accurate than quantitative measurements for defining hemorrhage with dilation and evacuation.

ABSTRACT:

Objectives

To assess if quantitative blood loss (QBL) with dilation and evacuation (D&E) procedures correlated with clinically relevant outcomes or hemorrhage.

Study design

We used a de-identified database to review D&E procedures performed at UC Davis Health from April 2019 through March 2020. Surgeons determined QBL during procedures and estimated blood loss, when excessive, during post-procedure recovery. We extracted patient demographic and procedure-related information. We defined clinically relevant bleeding as cases with bleeding-related interventions within 24 hours post-procedure including use of ≥2 uterotonics, tranexamic acid administration, cervical injury requiring repair, uterine balloon tamponade, blood transfusion, uterine artery embolization, hospitalization

SUBMITTER: Gilbert CM 

PROVIDER: S-EPMC10076208 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature