I am five weeks into my orientation in labor and delivery. I have an ER background as well as cardiac stress testing and occupational health. I was able to witness a spontaneous vaginal delivery yesterday with a hemorrhage afterwards the patient's hemoglobin was 11.6 prior to delivery. The next hemoglobin that was drawn around five hours after delivery was a nine. Today the patient passed the baseball size clot and her hemoglobin is 7.6. The patient denies dizziness but she is very pale she is very tachycardic at about 118 to 140. I feel like this patient should be receiving blood products. How old below does your obstetrical floor let the H&H get before transfusing!?
Dec 28, '13
She did get 3 bags of LR the day prior, so I could see having dilution come into play. No, a bedside ultrasound was not done as of when I left yesterday. I think I understand a little bit better what I am to expect I terms of labs, symptoms and treatment. I am very glad for the responses....it is a fine line between waiting for a woman's body to respond to the low H&H and to be vigilant assessing for symptoms----I'm so glad this forum is here---I really appreciate you guys!
Last edit by sandseaandstone on Dec 28, '13