Laboratory Testing and Predictors of Severe Postpartum Hemorrhage
Multidisciplinary management of obstetric hemorrhage requires rapid identification of its underlying etiology. As part of this management, laboratory assessment for coagulopathy is often performed. The following case study reviews the data on laboratory markers which predict progression to severe postpartum hemorrhage, juxtaposing the physiologic changes in obstetric hemostasis with interpreting abnormal values. Notably, fibrinogen has emerged from several studies as a marker for progression to severe postpartum hemorrhage. The case study also reviews recommendations for periodicity in laboratory testing during obstetric hemorrhage management.
KeywordsPostpartum hemorrhage Fibrinogen Blood coagulation tests Hemostasis
- 9.Lyndon A, Lagrew D, Shields LM, et al. Improving health care response to obstetric hemorrhage. California Maternal Quality Care Collaborative. https://cmqcc.org/ob_hemorrhage. Last accessed 7 June 2017.
- 10.Society for the Advancement of Blood Management. Administrative and clinical standards for patient blood management programs, 3rd ed. 2014. http://www.sabm.org/publications. Last accessed 7 June 2017.