Issue

Vol. 8 No. 3 (2020): 2020 Volume - 8 Issue-3

Copyright (c) 2020 Meisha Julian Angraini

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Effectiveness of Continuous Noninvasive Hemoglobin Devices to Monitor the Risk of Postpartum Hemorrhage

https://doi.org/10.61096/ijamscr.v8.iss3.2020.477-484
Meisha Julian Angraini
Postgraduate Program, Poltekkes Kemenkes Semarang, Semarang, Central Java, Indonesia

Corresponding Author(s) : Meisha Julian Angraini

[email protected]

International Journal of Allied Medical Sciences and Clinical Research, Vol. 8 No. 3 (2020): 2020 Volume - 8 Issue-3

Abstract

Background

The visual estimation method currently used is considered inaccurate, subjective and has not been able to diagnose postpartum hemorrhage correctly. Pulse oximetry is able to measure hemoglobin levels, oxygen saturation and pulse. Pulse oximetry can monitor the risk of postpartum hemorrhage with non-invasive, continuous and real-time.


Objectives

The purpose of this study was to analyze the effectiveness of pulse oximetry in monitoring the risk of postpartum hemorrhage.


Method

This is a quasi-experimental study with a sample size of 30 people. Invasive hemoglobin testing is performed by a hematological analyzer as the gold standard in the intervention and control groups. The examination is carried out twice before delivery (pretest) and 6-24 hours after delivery (posttest). Continued monitoring in the intervention group used pulse oximetry by measuring hemoglobin levels, oxygen saturation and pulse, while the control group used visual estimation and pulse rate manually.The pulse oximetry used in this study is the result of research and development usingwavelengths spectrophotometry.


Results

The results showed that the pulse oximetry was able to monitor the risk of postpartum hemorrhage with an effectiveness of 84.6% while the visual estimate was 58.9%. There are differences in the results of measurements of hemoglobin levels using pulse oximetry (noninvasive) and blood sampling (invasive) with an average of 0.288 g / dL.


Conclusion

Pulse oximetry effectively monitors the risk of postpartum hemorrhage continuously and in real time, but blood sampling (invasive) or laboratory analysis is still the gold standard in diagnosing postpartum hemorrhage.

Keywords

Postpartum Hemorrhage Non-invasive Hemoglobin Pulse Oximetry Postpartum Monitoring
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