Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler
{"title":"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。","authors":"Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler","doi":"10.1177/1753495X251338642","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Post-partum haemorrhage rates above 500 mL and 1000 mL were significantly higher in the IBD group (<i>p</i> = .02 and <i>p</i> = .002, respectively). However very severe PPH (>1500 mL) also known as massive obstetric haemorrhage (MOH) was not significantly different from the general obstetric population (<i>p</i> = .7) in our tertiary centre (The Royal London Hospital).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251338642"},"PeriodicalIF":0.8000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092408/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of a Maternal Medicine Hub on post-partum haemorrhage in women with inherited bleeding disorders: A retrospective service evaluation.\",\"authors\":\"Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler\",\"doi\":\"10.1177/1753495X251338642\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Post-partum haemorrhage rates above 500 mL and 1000 mL were significantly higher in the IBD group (<i>p</i> = .02 and <i>p</i> = .002, respectively). However very severe PPH (>1500 mL) also known as massive obstetric haemorrhage (MOH) was not significantly different from the general obstetric population (<i>p</i> = .7) in our tertiary centre (The Royal London Hospital).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":51717,\"journal\":{\"name\":\"Obstetric Medicine\",\"volume\":\" \",\"pages\":\"1753495X251338642\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-05-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092408/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obstetric Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/1753495X251338642\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetric Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1753495X251338642","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Impact of a Maternal Medicine Hub on post-partum haemorrhage in women with inherited bleeding disorders: A retrospective service evaluation.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
