Impact of a Maternal Medicine Hub on post-partum haemorrhage in women with inherited bleeding disorders: A retrospective service evaluation.

IF 0.8 Q4 OBSTETRICS & GYNECOLOGY

Obstetric Medicine Pub Date : 2025-05-20 DOI:10.1177/1753495X251338642

Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler

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引用次数: 0

Abstract

Background: We investigated the impact of the Maternal Medicine Network Hub, established at our centre in 2019, on post-partum haemorrhage (PPH) management in women with inherited bleeding disorders (IBDs).

Methods: Data from 63 patients with IBDs between 2020 and 2023 were compared to a general obstetric cohort. Specific data collected included haemoglobin levels, estimated blood loss, and PPH severity.

Results: Post-partum haemorrhage rates above 500 mL and 1000 mL were significantly higher in the IBD group (p = .02 and p = .002, respectively). However very severe PPH (>1500 mL) also known as massive obstetric haemorrhage (MOH) was not significantly different from the general obstetric population (p = .7) in our tertiary centre (The Royal London Hospital).

Conclusion: Multidisciplinary care at the Maternal Medicine Hub may mitigate the risk of extreme blood loss (MOH) in women with IBDs. This highlights the necessity of specialised care in improving outcomes for women with IBDs during childbirth.

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产妇医学中心对遗传性出血性疾病妇女产后出血的影响：一项回顾性服务评价。

背景：我们调查了2019年在我们中心建立的孕产妇医学网络中心对遗传性出血性疾病（IBDs）妇女产后出血（PPH）管理的影响。方法：将2020年至2023年期间63例ibd患者的数据与普通产科队列进行比较。收集的具体数据包括血红蛋白水平、估计失血量和PPH严重程度。结果：IBD组500 mL以上和1000 mL以上的产后出血率显著高于对照组（p = 0.05）。和p =。002年,分别)。然而，在我们的三级中心（皇家伦敦医院），非常严重的PPH （>1500 mL）也被称为产科大出血（MOH）与普通产科人群没有显著差异（p = 0.7）。结论：孕产妇医学中心的多学科护理可能会降低ibd妇女极端失血的风险。这突出表明，在改善ibd妇女分娩期间的结局方面，必须提供专门护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

0.00%

发文量