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A Pictorial Reference Guide to Aid Visual Estimation

of Blood Loss at Obstetric Haemorrhage: Accurate Visual


Assessment is Associated with Fewer Blood Transfusions
Dr Patrick Bose, Dr Fiona Regan, Miss Sara-Paterson Brown

a b c

Soiled Sanitary Towel Soaked Sanitary Towel Small Soaked Swab 10x10cm
30ml 100ml 60ml

d e f

ABL 50cm diameter (500ml), 75cm diameter


(1000ml) and 100cm diameter (1500ml)

Incontinence Pad Large Soaked Swab 45x45cm 100cm Diameter Floor Spill
250ml 350ml* 1500ml*

g h i

PPH on Bed only PPH Spilling to Floor Full Kidney Dish


1000ml 2000ml 500ml

*Multidisciplinary observations of estimated blood loss revealed that


scenarios (e-f) are grossly underestimated (> 30%)
For Further Information please contact Miss Sara Paterson-Brown
Delivery suite, Queen Charlottes Hospital, London

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