caa a22 4500 445306432 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1265-z doi (NATIONALLICENCE)springer-10.1007/s00404-009-1265-z Interest of using an underbuttocks drape with collection pouch for early diagnosis of postpartum hemorrhage [Elektronische Daten] [Hervé Tixier, Carole Boucard, Cyril Ferdynus, Serge Douvier, Paul Sagot] Background: Postpartum hemorrhage (PPH) is the principal cause of maternal death. Blood loss during delivery is often underestimated. The aim of this study was to evaluate the validity of using an underbuttocks collection pouch in the diagnosis of PPH. Methods: The study included a prospective series of 122 patients, over a period of 6months, from May to October 2008. Variations in levels of hemoglobin and hematocrit during the 48h following the childbirth confirmed the diagnosis of PPH. The graduated underbuttocks pouch allowed us to evaluate blood loss. The diagnostic value of the pouch was analyzed. Results: Mean age of the patients was 29.3years. Mean pregnancy duration was 39.5weeks of amenorrhea. Mean blood loss was 233.15ml. Eighteen patients (14.7%) presented PPH and uterine arteries were embolized in two cases (1.6%). For a volume of 500ml, the sensitivity of the pouch was 6.7%, and the specificity was 94.2%, The positive predictive value (PPV) was 66.7% and the negative predictive value (NPV) was 94.2%. For a threshold of 300ml, sensitivity was 88.9%, specificity was 82.7%, the PPV was 47.0% and the NPV was 97.7%. Conclusion: The underbuttocks collection pouch is a simple, cheap and effective way to make an early objective diagnosis of PPH. It allows medical staff to implement appropriate therapy quickly thus avoiding risks due to delay. The diagnostic threshold to ensure optimal management remains to be determined. Springer-Verlag, 2009 Postpartum hemorrhage nationallicence Collection pouch nationallicence Tixier Hervé Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut Boucard Carole Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut Ferdynus Cyril Centre d'Epidémiologie des Populations, EA 4184, Université de Bourgogne, 21000, Dijon Cedex, France aut Douvier Serge Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut Sagot Paul Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 25-29 0932-0067 283:1<25 2011 283 404 https://doi.org/10.1007/s00404-009-1265-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1265-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tixier Hervé Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut NATIONALLICENCE 700 1- Boucard Carole Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut NATIONALLICENCE 700 1- Ferdynus Cyril Centre d'Epidémiologie des Populations, EA 4184, Université de Bourgogne, 21000, Dijon Cedex, France aut NATIONALLICENCE 700 1- Douvier Serge Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut NATIONALLICENCE 700 1- Sagot Paul Service de Gynécologie-Obstétrique, Faculté de Médecine, Centre Hospitalier Universitaire de Dijon, 2, bd Maréchal de Lattre de Tassigny, BP 77908, 21079, Dijon Cedex, France aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 25-29 0932-0067 283:1<25 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer