{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:10:31Z","timestamp":1778278231475,"version":"3.51.4"},"reference-count":42,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0382_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The safety and efficacy of peripartum transfusion support depends on a comprehensive risk analysis, the provision of substantiated criteria for ordering blood products, and surveillance of outcomes over time. We aimed to determine bleeding frequencies and volumes of blood loss, associated patient risk factors, and the effectiveness of our transfusion support scheme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0382_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"id\">Birth records of 12,255 pregnant women who gave birth at our hospital were screened for haemorrhage volumes, mode of delivery, bleeding aetiology, accompanying risk factors as well as outcome. Transfusion related data was extracted from the electronic blood product database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0382_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 204 (1.6\u202f%) women who gave birth within the 5-year study period received at least one RBC transfusion within 48\u202fh after delivery. Differences in haemorrhage volumes in all women compared to those receiving RBC transfusion confirmed an increased probability of RBC transfusion with larger haemorrhage volumes. Uterus atony bleeding (UAB) was the most common cause associated with transfusions. Six risk factors for RBC transfusion among transfused patients were identified that showed a probability of &gt;10\u202f%: Adherent placenta (31.4\u202f%), preterm rupture of membranes (PROM) (25.5\u202f%), age over 35 (25.0\u202f%), a previous caesarean section (19.6\u202f%), gestational diabetes mellitus (15.2\u202f%), and a twin pregnancy (11.8\u202f%). An overall crossmatch-to-transfusion (C\/T) ratio of 2.75:1 was reached and no patient with major haemorrhage-related morbidity or mortality was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0382_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Evaluation of peripartum haemorrhage and associated RBC transfusion using the described methodology revealed RBC transfusions in 1.6\u202f% of all women who gave birth within the study period. The described blood ordering scheme demonstrates a safe and efficient utilisation of blood products.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0382","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T14:36:31Z","timestamp":1772289391000},"page":"734-743","source":"Crossref","is-referenced-by-count":0,"title":["Peripartum haemorrhage and associated red blood cell transfusion"],"prefix":"10.1515","volume":"54","author":[{"given":"Luisa","family":"Diecke","sequence":"first","affiliation":[{"name":"39066 Institute of Transfusion Medicine, Medical Faculty, University Hospital Leipzig , Johannisallee 32, 04103 Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Langer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Stepan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reinhard","family":"Henschler","sequence":"additional","affiliation":[{"name":"Institute of Transfusion Medicine, University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"2026050821281503371_j_jpm-2025-0382_ref_001","doi-asserted-by":"crossref","unstructured":"Say, L, Chou, D, Gemmill, A, Tuncalp, O, Moller, AB, Daniels, J, et al.. 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