{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:34:08Z","timestamp":1770485648778,"version":"3.49.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>\n            Objective\u2003This article compares hemorrhage recognition and transfusion using accurate, contemporaneous blood loss measurement versus visual estimation during cesarean deliveries.<\/jats:p><jats:p>\n            Study Design\u2003A retrospective cohort study using visually estimated blood loss (traditional, n\u2009=\u20092,025) versus estimates using a mobile application that photographs sponges and canisters and calculates their hemoglobin content (device, n\u2009=\u2009756).<\/jats:p><jats:p>\n            Results\u2003Blood loss\u2009&gt;\u20091,000 mL was recognized in 1.9% of traditional visual estimation patients, while measured blood loss of\u2009&gt;\u20091,000 mL occurred in 8.2% of device patients (p\u2009&lt;\u20090.0001). In both groups, this was accompanied by a greater decrease in transfusion-adjusted hemoglobin levels than occurred in patients without hemorrhage (p\u2009&lt;\u20090.0001). Despite similar transfusion rates (1.6% in both groups), fewer red cell units were given to transfused patients in the device group (1.83\u2009\u00b1\u20090.58 versus 2.56\u2009\u00b1\u20091.68 units; p\u2009=\u20090.038). None of the patients in the device group received plasma or cryoprecipitate. Seven patients in the traditional group received these products (p\u2009=\u20090.088). Device use was associated with shorter hospital stays (4.0\u2009\u00b1\u20092.3 versus 4.4\u2009\u00b1\u20092.9 days; p\u2009=\u20090.0006).<\/jats:p><jats:p>\n            Conclusion\u2003The device identified hemorrhages more frequently than visual estimation. Device-detected hemorrhages appeared clinically relevant. Blood product transfusion was reduced possibly due to earlier recognition and treatment, although further studies are needed to verify the conclusion.<\/jats:p>","DOI":"10.1055\/s-0037-1613675","type":"journal-article","created":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T23:37:43Z","timestamp":1512517063000},"page":"655-659","source":"Crossref","is-referenced-by-count":25,"title":["Clinical Experience with the Implementation of Accurate Measurement of Blood Loss during Cesarean Delivery: Influences on Hemorrhage Recognition and Allogeneic Transfusion"],"prefix":"10.1055","volume":"35","author":[{"given":"Stacy","family":"Zamudio","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine and Surgery, Department of Obstetrics and Gynecology, Hackensack Meridian Health, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulla","family":"Al-Khan","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine and Surgery, Department of Obstetrics and Gynecology, Hackensack Meridian Health, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Douglas","sequence":"first","affiliation":[{"name":"Institute for Evidence Based Practice and Nursing Research, Hackensack University Medical Center, Hackensack Meridian Health, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Sledge","sequence":"first","affiliation":[{"name":"Department of Patient Safety and Quality, Center for Bloodless Medicine and Surgery, Hackensack Meridian Health, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Griffeth","family":"Tully","sequence":"first","affiliation":[{"name":"Gauss Surgical, Inc., Los Altos, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Thurer","sequence":"first","affiliation":[{"name":"Gauss Surgical, Inc., Los Altos, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Rubenstein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hackensack Meridian Health, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,12,5]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1613675.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T22:31:24Z","timestamp":1526077884000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1613675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,5]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2018,5,11]]},"published-print":{"date-parts":[[2018,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1613675","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,5]]}}}