Clinical utility of routine postpartum hemoglobin determinations.

Abstract:

:The objective of this paper was to determine if routine postpartum hemoglobin (Hb) determination changes patient management. One thousand patients with a vaginal delivery at Hermann Hospital, Houston, TX, had antepartum Hb testing, and a postpartum Hb for: (1) an antepartum Hb <9.0 mg/dL, (2) an estimated blood loss (EBL) >500 mL, (3) abnormal orthostatic vital signs, and (4) physician discretion. Data collected included: antepartum and postpartum Hb, EBL at delivery, the indication for Hb determination, and orthostatic vital sign results. Three-hundred fifty-eight postpartum hemoglobins were performed, most were "routine." Patients whose EBL was >500 mL were twice as likely to be anemic after delivery (RR 2.39, 95% CI 1.40, 4.08). Orthostatic hypotension had a PPV of only 21% for postpartum anemia. With the exception of an EBL >500 mL, risk factors for postpartum anemia are poorly predictive. Orthostatic vital signs are an insensitive test for the detection of anemia. Minimizing routine Hb testing following vaginal deliveries appears safe without an impact on patient management.

journal_name

Am J Perinatol

authors

Swaim LS,Perriatt S,Andres RL,Paradissis J,Watson MN

doi

10.1055/s-2007-993881

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

333-7

issue

7

eissn

0735-1631

issn

1098-8785

journal_volume

16

pub_type

杂志文章
  • Conservative management of abdominal gunshot wound in a pregnant woman.

    abstract::An abdominal gunshot wound in pregnancy warrants prompt surgical exploration but does not mandate uterine evacuation. Despite an entry and exit bullet wound to the uterus an apparent desire for pregnancy termination, a conservative approach was adopted with primary repair of the uterus, in conjunction with surgical re...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999691

    authors: Kirshon B,Young R,Gordon AN

    更新日期:1988-07-01 00:00:00

  • Resolving polyhydramnios. A sign of improved fetal status.

    abstract::Four cases of transient polyhydramnios are reviewed. It is proposed that by taking note of changes in amniotic fluid volume, one can more accurately assess a fetal-maternal unit that is affected by a number of specific disease processes. ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999656

    authors: Hill LM

    更新日期:1988-01-01 00:00:00

  • New Diagnostic Possibilities for Neonatal Sepsis.

    abstract::Progress in neonatal care has decrease morbidity and mortality due to neonatal sepsis (NS). Although diagnosis of sepsis continues to rely on blood culture, this method is too slow and limited by false-negative results. There are numerous sepsis biomarkers that have been evaluated for the early diagnosis of NS, but, t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1639361

    authors: Tzialla C,Manzoni P,Achille C,Bollani L,Stronati M,Borghesi A

    更新日期:2018-05-01 00:00:00

  • Risk factors for early and late onset of respiratory symptoms in babies born through meconium.

    abstract::We sought (1) to identify risk factors for meconium aspiration syndrome (MAS) among infants born to women whose labors were complicated by thick-consistency meconium-stained amniotic fluid (MSAF), and (2) to determine whether risk factors and infant prognosis differ according to the time of onset of respiratory distre...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0029-1241740

    authors: Xu H,Calvet M,Wei S,Luo ZC,Fraser WD,Amnioinfusion Study Group.

    更新日期:2010-04-01 00:00:00

  • Association of midgestational paraoxonase 1 activity with pregnancies complicated by preeclampsia.

    abstract::The antioxidant enzyme paraoxonase 1 is a marker of oxidative stress and has been implicated in the pathogenesis of preeclampsia. Our objective was to determine if an association exists between low paraoxonase 1 activity at midgestation and the development of preeclampsia. We conducted a case-control study of 50 women...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0029-1236438

    authors: Baker AM,Klein RL,Haeri S,Moss KL,Boggess KA

    更新日期:2010-03-01 00:00:00

  • Sonography of unilateral megalencephaly in the fetus and newborn infant.

    abstract::A 27-year-old primigravida women was referred for ultrasound studies at 32 weeks' gestation because of the suspicion of fetal ventriculomegaly. Sonographic examination of the fetal brain found a marked shift of the midline, with enlarged left hemisphere and ipsilateral occipital horn, and abnormal convolutions. A 3500...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999330

    authors: Sandri F,Pilu G,Dallacasa P,Foschi F,Salvioli GP,Bovicelli L

    更新日期:1991-01-01 00:00:00

  • Inadvertent amniocenteses occurring during unrelated invasive diagnostic procedures in the third trimester.

    abstract::Two cases of inadvertent third trimester amniocenteses occurring during attempted spinal tap and culdocentesis are presented. These hitherto undescribed occurrences stress potential complications of these invasive diagnostic procedures in the gravid woman. ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994618

    authors: Sherer DM,Abramowicz JS

    更新日期:1993-11-01 00:00:00

  • Neonatal Morbidities among Moderately Preterm Infants with and without Exposure to Antenatal Corticosteroids.

    abstract:OBJECTIVE:We aimed to compare the rates of "surfactant treated respiratory disease" and other neonatal morbidities among moderately preterm (MPT) infants exposed to no, partial, or a complete course of antenatal corticosteroids (ANS). STUDY DESIGN:This observational cohort study evaluated MPT infants (290/7-336/7 week...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0038-1642059

    authors: Chawla S,Natarajan G,Chowdhury D,Das A,Walsh M,Bell EF,Laptook AR,Van Meurs K,D'Angio CT,Stoll BJ,DeMauro SB,Shankaran S

    更新日期:2018-10-01 00:00:00

  • The freeze-thaw process and long intervals after fortification denature human milk fat globules.

    abstract::Although mother's milk is the optimal nutrition for preterm infants, the amount of protein, calcium, and phosphorus become inadequate for the growth of preterm infants, such that fortification is recommended when enteral feeding is established. Recently, intestinal obstruction due to calcium soap formation has been re...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0031-1295659

    authors: Takahashi K,Mizuno K,Itabashi K

    更新日期:2012-04-01 00:00:00

  • Predicting perinatal mortality in preterm intrauterine growth restriction.

    abstract::We evaluated if maternal demographic and ultrasound parameters predict perinatal mortality in preterm intrauterine growth restriction (IUGR). Retrospective cohort study of preterm IUGR (delivery gestational age <35 weeks and birth weight <10th percentile for gestation). We excluded twins and fetuses with aneuploidy, i...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0029-1223284

    authors: Scifres CM,Stamilio D,Macones GA,Odibo AO

    更新日期:2009-11-01 00:00:00

  • The methodological quality of economic evaluation studies in obstetrics and gynecology: a systematic review.

    abstract::We evaluated the methodological quality of economic evaluation studies in the field of obstetrics and gynecology published in the last decade. A MEDLINE search was performed to find economic evaluation studies in obstetrics and gynecology from the years 1997 through 2009. We included full economic evaluation studies c...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1323591

    authors: Vijgen SM,Opmeer BC,Mol BW

    更新日期:2013-04-01 00:00:00

  • Birth Tourism and Neonatal Intensive Care: A Children's Hospital Experience.

    abstract::Objective The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). Methods This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1584139

    authors: Mikhael M,Cleary JP,Dhar V,Chen Y,Nguyen DV,Chang AC

    更新日期:2016-12-01 00:00:00

  • Pregnancy Outcomes after Preeclampsia: The Effects of Interpregnancy Weight Change.

    abstract:OBJECTIVE: This study aimed to examine the effects of interpregnancy weight change on pregnancy outcomes, including recurrent preeclampsia, preterm birth, small-for-gestational age (SGA), large-for-gestational age (LGA), and cesarean delivery, among women with a history of preeclampsia. We also evaluated whether these ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713000

    authors: Tabet M,Banna S,Luong L,Kirby R,Chang JJ

    更新日期:2020-06-10 00:00:00

  • Maternal and fetal tuberous sclerosis complicating pregnancy: a case report and overview of the literature.

    abstract::Tuberous sclerosis complex (TSC) is an autosomal-dominant phakomatosis that can result in cardiac and central nervous system lesions and may adversely impact fetal and maternal health. We report a case of a 19-year-old primagravida with TSC whose pregnancy was complicated by preeclampsia, preterm labor, and fetal demi...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-861572

    authors: King JA,Stamilio DM

    更新日期:2005-02-01 00:00:00

  • Ceftolozane/Tazobactam in Neonates and Young Infants: The Challenges of Collecting Pharmacokinetics and Safety Data in This Vulnerable Patient Population.

    abstract:OBJECTIVE: New treatments are needed for multidrug-resistant (MDR) gram-negative infections in neonates. Ceftolozane/tazobactam is a β-lactam/β-lactamase inhibitor combination that has broad-spectrum activity against most common gram-negative bacteria, including MDR strains. We evaluated pharmacokinetics (PK) and safet...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-3402719

    authors: Ang JY,Arrieta A,Bradley JS,Zhang Z,Yu B,Rizk ML,Johnson MG,Rhee EG

    更新日期:2020-01-07 00:00:00

  • Evaluation of a universal real-time polymerase chain reaction for detection of amniotic fluid infection in premature rupture of membranes.

    abstract::Managing preterm rupture of membranes (PPROM) is a balance between benefits of prolonging gestation and the risks of perinatal infection. This study evaluates a real-time polymerase chain reaction (PCR) for the detection of amniotic fluid infection and neonatal complications by amniocentesis following PPROM. A total o...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0030-1271212

    authors: Debiève F,Ska S,Williams O,Hutchings G,Bernard P,Grandjean P,Hubinont C

    更新日期:2011-08-01 00:00:00

  • Staphylococcus aureus, including community-acquired methicillin-resistant S. aureus, in a level III NICU: 2001 to 2008.

    abstract:OBJECTIVE:To determine epidemiology and clinical characteristics of infants with methicillin-susceptible (MSSA) and -resistant Staphylococcus aureus (MRSA) in a level III neonatal intensive care unit (NICU). STUDY DESIGN:All NICU admissions (2001 to 2008) with any positive S. aureus culture were included as cases. Cas...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1304819

    authors: Rana D,Abughali N,Kumar D,Super DM,Jacobs MR,Kumar ML

    更新日期:2012-06-01 00:00:00

  • Re-analysis of safety data supporting doxylamine use for nausea and vomiting of pregnancy.

    abstract::Antihistamines are commonly used to treat nausea and vomiting of pregnancy (NVP). We re-analyzed the 24 primary studies cited in a 1997 meta-analysis that concluded antihistamine use for NVP was safe as they had been studied in more than 200,000 participating women and the pooled odds ratio for congenital malformation...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0033-1358772

    authors: Chin JW,Gregor S,Persaud N

    更新日期:2014-09-01 00:00:00

  • Opioid Use Disorder during Antepartum and Postpartum Hospitalizations.

    abstract:OBJECTIVE:This study aimed to evaluate temporal trends in opioid use disorder (OUD) during antepartum and postpartum hospitalizations. STUDY DESIGN:This repeated cross-sectional analysis analyzed data from the National (Nationwide) Inpatient Sample. Women aged 15 to 54 years admitted antepartum or postpartum were iden...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1694725

    authors: Kern-Goldberger AR,Huang Y,Polin M,Siddiq Z,Wright JD,D'Alton ME,Friedman AM

    更新日期:2020-12-01 00:00:00

  • Temporal Profile of Early Pulmonary Hypertension in Preterm Infants.

    abstract::Objective The objective of this study was to study the temporal profile of pulmonary hypertension (PH) in preterm infants. Study Design Infants < 28 weeks were screened for early PH at 10 to 14 days of life. Infants with early PH (n = 10) and gestationally matched controls (n = 18) underwent serial echocardiography ev...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1581079

    authors: Mirza H,Ziegler J,Ford S,Padbury J,Tucker R,Laptook A

    更新日期:2016-07-01 00:00:00

  • Gastric residual in growing preterm infants: effect of body position.

    abstract::Studies of the effect of body position during and after bolus feeding upon gastric emptying or gastric residual have not had consistent results. We tested the hypotheses that right lateral decubitus leads to less gastric residual than left lateral decubitus and that the prone position leads to less gastric residual th...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2004-823778

    authors: Cohen S,Mandel D,Mimouni FB,Solovkin L,Dollberg S

    更新日期:2004-04-01 00:00:00

  • Femur length versus biparietal diameter for estimating gestational age in the third trimester.

    abstract::It is well established that ultrasound measurement of femur length and biparietal diameter are comparably accurate estimators of gestational age when obtained in the first half of pregnancy. Both estimators, however, become less accurate later in pregnancy. The present study compares the relative accuracy of these est...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999837

    authors: Egley CC,Seeds JW,Cefalo RC

    更新日期:1986-04-01 00:00:00

  • The significance of antiphospholipid antibodies in pregnant women with chronic hypertension.

    abstract::The objective of this study was to perform antiphospholipid antibody screening in women with chronic hypertension to assess whether the presence of such antibodies is associated with adverse pregnancy outcome. Serum for anticardiolipin antibodies and lupus anticoagulant was obtained in pregnant women with chronic hype...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2004-829870

    authors: Zeeman GG,Alexander JM,McIntire DD,Leveno KJ

    更新日期:2004-07-01 00:00:00

  • Do neonatal outcomes differ depending on the cause of preterm birth? A comparison between spontaneous birth and iatrogenic delivery for preeclampsia.

    abstract::We compared short-term neonatal outcomes between premature infants with spontaneous preterm birth (s-PTB) and those delivered due to preeclampsia (PEC). Data were collected from women with singleton pregnancies admitted with spontaneous preterm labor (PTL) (2002 to 2005) and PEC (2005 to 2007). Patients delivering 24 ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0029-1234036

    authors: Bastek JA,Srinivas SK,Sammel MD,Elovitz MA

    更新日期:2010-02-01 00:00:00

  • Correlation of fetal heart rate monitoring and acid-base status with periventricular/intraventricular hemorrhage in the low birthweight neonate.

    abstract::We investigated the correlation of fetal heart rate patterns and fetal acid-base findings with the occurrence of early periventricular/intraventricular hemorrhage and variants. Ninety-five consecutive singleton neonates with birthweights less than or equal to 2000 gm were investigated. One-third of them showed early p...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999819

    authors: Hameed C,Tejani N,Tuck S,Novotny P,Verma U,Chayen B

    更新日期:1986-01-01 00:00:00

  • Reducing Alarm Fatigue in Two Neonatal Intensive Care Units through a Quality Improvement Collaboration.

    abstract:OBJECTIVE:To reduce nonactionable oximeter alarms by 80% without increasing time infants were hypoxemic (oxygen saturation [SpO2] ≤ 80%) or hyperoxemic (SpO2 > 95% while on supplemental oxygen). STUDY DESIGN:In 2015, a multidisciplinary team at Connecticut Children's Medical Center initiated a quality improvement proj...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1653945

    authors: Johnson KR,Hagadorn JI,Sink DW

    更新日期:2018-11-01 00:00:00

  • Outcome and Feasibility after 7 Years of Therapeutic Hypothermia in Southern Brazil.

    abstract:OBJECTIVE:This study aimed to describe the experience with a protocol of therapeutic hypothermia (TH) in southern Brazil. STUDY DESIGN:Newborns with gestational age > 35 weeks with evidence of perinatal asphyxia plus moderate or severe encephalopathy were recruited between March 2011 and November 2017. Whole-body hypo...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1692388

    authors: Procianoy RS,Corso AL,Schoenardie BO,de Oliveira GPF,Longo MG,Silveira RC

    更新日期:2020-07-01 00:00:00

  • Evaluating Fundal Dominant Contractions on Spatiotemporal Electrohysterography as a Marker for Effective Labor Contractions.

    abstract:OBJECTIVE:To evaluate if fundal (F) dominance of the electrohysterogram is associated with vaginal delivery and lack of F dominance is associated with cesarean for labor dystocia. STUDY DESIGN:We conducted a prospective cohort study of nulliparous women in spontaneous labor at ≥36 weeks. Clinicians were blinded to ele...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1675621

    authors: Edwards RK,Euliano NR,Singh S,LeDuke RC,Andrews WW,Jauk V,Subramaniam A,Szychowski JM

    更新日期:2019-07-01 00:00:00

  • Perinatal outcome in the live-born infant with prenatally diagnosed omphalocele.

    abstract::We compared perinatal outcomes between live-born nonisolated and isolated omphaloceles diagnosed during a prenatal ultrasound. Fetuses (n = 86) with omphalocele were identified between 1995 and 2007 at a single institution. Inclusion criteria were an omphalocele >14 weeks' gestation, available fetal and/or neonatal ka...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0031-1276737

    authors: Kominiarek MA,Zork N,Pierce SM,Zollinger T

    更新日期:2011-09-01 00:00:00

  • Developmental aspects of percutaneous caffeine absorption in premature infants.

    abstract::Caffeine is commonly used in the treatment of apnea of prematurity. The skin of preterm infants varies considerably in its level of maturity. To understand skin absorption in low birthweight infants (less than 1500 gm) with gestational age between 26 and 34 weeks, a group of 56 preterm babies was studied after percuta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999282

    authors: Amato M,Hüppi P,Isenschmid M,Schneider H

    更新日期:1992-09-01 00:00:00