Effectiveness of continuous noninvasive hemoglobin devices to monitor the risk of postpartum hemorrhage
Corresponding Author(s) : Meisha Julian Angraini
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 3 (2020): 2020 Volume - 8 Issue-3
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.
The purpose of this study was to analyze the effectiveness of pulse oximetry in monitoring the risk of postpartum hemorrhage.
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.
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.
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.
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. M. Belfort, “Overview of postpartum hemorrhage”, 2018.
. WHO, “Maternal, newborn, child and adolescent health Adolescent development,” WHO Press, 2015, 1-2.
. World Health Organization, “Countdown to 2015 decade report with country profiles: taking stock of maternal, newborn and child survival.” Matern. Newborn Child Surviv. Countdown to 2015, 53.
. Badan Pusat Statistik, Badan Koordinasi Keluarga Berencanan Nasional, Departemen Kesehatan, dan Macro International, “Survei Demografi dan Kesehatan Indonesia, 16, 2013.
. Dinas Kesehatan Jawa Tengah, “Profil Kesehatan Provinsi Jawa Tengah,” Dinkes Jateng, 3511351, 24, 2017, 1–62.
. Varney, “Varney. Buku Ajar Asuhan Kebidanan. Jakarta : EGC ”, Jakarta EGC, 2010.
. V. Diaz, E. Abalos, dan G. Carroli, “Methods for blood loss estimation after vaginal birth”, Cochrane Database of Systematic Reviews, 9, 2018.
. H. M. F. Al Kadri, B. K. Al Anazi, dan H. M. Tamim, “Visual estimation versus gravimetric measurement of postpartum blood loss: A prospective cohort study,” Arch. Gynecol. Obstet., 283(6), 2011, 1207–1213.
. M. N. Schorn, “Measurement of Blood Loss: Review of the Literature,” J. Midwifery Women’s Heal, 55(1), 2010, 20–27.
. E. D. Chan, M. M. Chan, dan M. M. Chan, “Pulse oximetry: Understanding its basic principles facilitates appreciation of its limitations,” Respiratory Medicine, 107(6), 2013, 789–799.
. Pricilia, “Rancang bangun alat ukur kadar hemoglobin dan oksogen dalam darah dengan sensor oximater secara non-invasive,” J. Tek. Pomits, 3(2), 2014, 1–2.
. L. De Lloyd., Standard haemostatic tests following major obstetric haemorrhage,Int. J. Obstet. Anesth., 20(2), 2011, 135–141.
. K. T. Gabel dan T. A. Weeber, Measuring and Communicating Blood Loss During Obstetric Hemorrhage,JOGNN - J. Obstet. Gynecol. Neonatal Nurs., vol. 41(4), 2012, 551–558.
. T. Lertbunnaphong, N. Lapthanapat, J. Leetheeragul, P. Hakularb, dan A. Ownon, Postpartum blood loss: Visual estimation versus objective quantification with a novel birthing drape,Singapore Med. J., vol. 57, no. 6, hal. 325–328, 2016.
. H. Tixier, C. Boucard, C. Ferdynus, S. Douvier, dan P. Sagot, “Interest of using an underbuttocks drape with collection pouch for early diagnosis of postpartum hemorrhage,” Arch. Gynecol. Obstet., 283(1), 2011, 25–29.
. K. Dunlop, R. Eckler, A. Rosen, A. Komorowski, K. Murphy, dan R. DʼSouza, “Reliability of Visual Estimation of Intrapartum Blood Loss [10Q],” Obstet. Gynecol., 129, 2017, 175S-176S.
. S. J. Barker, A. Shander, dan M. A. Ramsay, “Continuous Noninvasive Hemoglobin Monitoring,” Anesth. Analg, 122(2), 2016, 565–572.
. D. A. Prasetyo, “Rancang Bangun Alat Ukur Denyut Jantung, Saturasi Oksigen dalam Darah dan Hemoglobin dengan Metode Noninvasive,” Universitas Muhammadiyah Purwokerto, 2019.
. L. Berkow, S. Rotolo, dan E. Mirski, “Continuous noninvasive hemoglobin monitoring during complex spine surgery,” Anesth. Analg, 113(6), 2011, 1396–1402.
. M. R. MacKnet, M. Allard, R. L. Applegate, dan J. Rook, “The accuracy of noninvasive and continuous total hemoglobin measurement by pulse CO-oximetry in human subjects undergoing hemodilution,” Anesth. Analg, 111(6), 2010, 1424–1426.
. D. Frasca, “Accuracy of a continuous non-invasive hemoglobin monitor in the ICU,” Crit. Care, 15(1), 2011, 429.
. R. D. Miller, T. A. Ward, S. C. Shiboski, dan N. H. Cohen, “A comparison of three methods of
. hemoglobin monitoring in patients undergoing spine surgery,” Anesth. Analg, 2011.
. E. Gayat, “Performance evaluation of a noninvasive hemoglobin monitoring device,” Ann. Emerg. Med., 2011.
. B. Altman, “Statistical methods for assessing agreement between,” lancet, 62(7), 1986, 307–310, 2018.
. J. B. F. Filho, G. U. Eckert, M. B. Tartarella, dan R. S. Procianoy, “Prevention of retinopathy of prematurity”, Arquivos Brasileiros de Oftalmologia, 74(3), 2011, 217–221.