One significant problem in the postpartum unit is the inaccurate estimation of postpartum blood loss, which can lead to delayed recognition and management of postpartum hemorrhage (PPH). The reliance on visual estimation is subjective and often underestimates actual blood loss, increasing the risk of severe maternal complications such as anemia, organ failure, and mortality (Katz & Farber, 2021). Addressing this issue requires a systematic approach, beginning with assessing current practices through audits of recent PPH cases and gathering feedback from nurses and physicians on challenges associated with visual estimation. Incorporating evidence-based practice is essential, particularly by reviewing research on quantitative blood loss (QBL) measurement using gravimetric (weighing blood-soaked materials) and photometric (EHR-integrated) methods. Engaging key stakeholders—including obstetricians, midwives, nurses, and hospital leadership—is crucial for gaining support and demonstrating the effectiveness of QBL in improving PPH detection and reducing complications. (Blosser et al., 2021) Implementing a small-scale QBL pilot program in one postpartum unit allows feasibility testing, staff training, and data collection for comparison with visual estimation methods. After evaluation, adjustments can be made before expanding hospital-wide. Developing institutional guidelines, integrating QBL into the Electronic Health Record (EHR), and providing ongoing staff training will promote sustainability. Transitioning to QBL enhances clinical decision-making, ultimately improving maternal outcomes (Ahammed et al., 2024).

References:

Ahammed, N., Pareek, N., & Tanwar, V. (2024). Enhancing electronic health record integration in large hospital environments: Addressing challenges, training, and cultivating organizational awareness. International Journal of Research in Medical Science, 6(1), 95–106. https://doi.org/10.33545/26648733.2024.v6.i1b.60

Blosser, C., Smith, A., & Poole, A. T. (2021). Quantification of blood loss improves detection of postpartum hemorrhage and accuracy of postpartum hemorrhage rates: A retrospective cohort study. Curēus. https://doi.org/10.7759/cureus.13591

Katz, D., & Farber, M. (2021). Can measuring blood loss at delivery reduce hemorrhage-related morbidity? International Journal of Obstetric Anesthesia, 46, 102968. https://doi.org/10.1016/j.ijoa.2021.102968