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Authors: Ahmadzia, H.K. | Thomas, S.M. | Murtha, A.P. | Heine, R.P. | Brancazio, L.R.

Article Type: Research Article

Abstract: OBJECTIVE: To evaluate experiences related to obstetric hemorrhage and suspected abnormal placentation among first year maternal-fetal medicine fellows. STUDY DESIGN: A cross-sectional anonymous survey was administered at the Society for Maternal-Fetal Medicine fellow retreat in March 2013. Fellows were asked about management strategies that reflected both their individual and institutional practices. RESULTS: There was a 56% response rate (55/98). In cases of postpartum hemorrhage due to uterine atony, there was variable use of the uterine tamponade device. The median incremental time for balloon deflation was every 5 hours (IQR = 2–12). Compared to the east coast, fellows from the west coast performed …more hysterectomies (mean±SD; 2.9±2.4 vs. 1.2±1.2, p  = 0.004). During a peripartum hysterectomy, 29% of fellows used a handheld cautery device such as Ligasure® or Gyrus® . Fifty-six percent responded that their institution never recommend planned delayed hysterectomies for abnormal placental implantation. CONCLUSION: There is wide variation in practice among first year maternal-fetal medicine fellows in management of peripartum hysterectomy and postpartum hemorrhage. Show more

Keywords: Obstetric hemorrhage, abnormal placentation, maternal-fetal medicine, survey study

DOI: 10.3233/NPM-16915119

Citation: Journal of Neonatal-Perinatal Medicine, vol. 9, no. 2, pp. 133-137, 2016