Fibrin-based clot formation as an early and rapid biomarker for progression of postpartum hemorrhage: a prospective study

Author:

Collins Peter W.12,Lilley Graeme3,Bruynseels Daniel3,Laurent David Burkett-St.3,Cannings-John Rebecca4,Precious Elizabeth1,Hamlyn Vincent3,Sanders Julia45,Alikhan Raza1,Rayment Rachel1,Rees Alexandra5,Kaye Abigail5,Hall Judith E.23,Paranjothy Shantini6,Weeks Andrew7,Collis Rachel E.3

Affiliation:

1. Department of Haematology Cardiff and Vale University Health Board, Cardiff, United Kingdom;

2. Institute of Infection and Immunity, Critical Illness Research Group, Cardiff University School of Medicine, Cardiff, United Kingdom;

3. Department of Anaesthetics and Pain Control, Cardiff and Vale University Health Board, Cardiff, United Kingdom;

4. Institute of Translation, Innovation, Methodology and Engagement, South East Wales Trials Unit, Cardiff University School of Medicine, Cardiff, United Kingdom;

5. Department of Obstetrics, Cardiff and Vale University Health Board, Cardiff, United Kingdom;

6. Institute of Primary Care and Public Health, Cardiff University School of Medicine, Cardiff, United Kingdom; and

7. Department of Women’s and Children’s Health, University of Liverpool, Liverpool, United Kingdom

Abstract

Key Points Fibtem is an early and rapidly available biomarker for predicting progression of moderate to severe postpartum hemorrhage. Fibtem was predictive of need for blood transfusion and invasive procedures, bleeds >2500 mL, duration of bleed, and time in high dependency.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference37 articles.

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2. World Health Organisation Maternal mortality: fact sheet 348. Available at: http://www.who.int/mediacentre/factsheets/fs348/en/. Accessed June 1, 2013

3. Incidence, risk factors, and temporal trends in severe postpartum hemorrhage.;Kramer;Am J Obstet Gynecol,2013

4. Lennox C Marr L Scottish confidential audit of severe maternal morbidity. 9th annual report [data from 2011]. Available at: http://healthcareimprovementscotland.org/his/idoc.ashx?docid=5fb640e2-d079-48cc-ad49-a58f6929b685&version=-1. Accessed November 10, 2013

5. Increasing trends in atonic postpartum haemorrhage in Ireland: an 11-year population-based cohort study.;Lutomski;BJOG,2012

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