Anemia diagnosis by hemoglobin level monitoring in women after vaginal delivery by symptoms versus screening of women at increased risk for post-partum anemia.
Anemia is common following delivery. It is associated with some serious complications including increased risk for syncope and in severe cases even cardiogenic shock. Yet, anemia-associated symptoms might manifest relatively late after the patient have lost a fair amount of blood, which was not diagnosed early enough. To date, there are not acceptable guidelines for monitoring hemoglobin levels after delivery. Theoretically, there are 2 approaches for hemoglobin monitoring - one by taking hemoglobin levels in order to diagnose anemia in patients reporting anemia-associated symptoms. The other approach is by screening of women at increased risk for post-partum anemia. In the present study we aimed to compare those 2 approaches.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
1,679
Post-partum anemia will be diagnosed after vaginal delivery by taking hemoglobin levels to patients with symptoms consistent with anemia, severe postpartum hemorrhage or hemoglobin level below 8 g/dL.
Post-partum anemia will be diagnosed after vaginal delivery by taking hemoglobin levels to high risk women for post-partum anemia, defined as hemoglobin levels of 10.5 g/dl or below around delivery, or severe postpartum hemorrhage with or without symptoms associated with anemia
Haemek Medical Center
Afula, Israel
The rate of patients diagnosed with anemia
Hemoglobin of 10 g/dl or below
Time frame: Up to 3 days postpartum
The rate of patients who received treatment with intravenous iron sucrose
Time frame: Up to 3 days postpartum
The rate of patients who received blood transfusion
Time frame: From delivery and up to 5 days
The rate of women with post-partum hemorrhage
Time frame: From delivery and up to 5 days
The rate of women who underwent uterine revision following delivery after their arrival to the maternity ward
Time frame: From delivery and up to 5 days
The rate of women who needed uterotonic agents after their arrival to the maternity ward
Time frame: From delivery and up to 5 days
The average blood tests number that was performed
Time frame: From delivery and up to 5 days
Minimal and average hemoglobin level
Time frame: From delivery and up to 5 days
The composite symptoms of anemia and functional capacity after 6 weeks postpartum as assessed by a questionnaire
Each question in the questionnaire will receive a score. The total score will be reported.
Time frame: 6 weeks postpartum
Hemoglobin level 6 weeks postpartum
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Time frame: 6 weeks postpartum