Two cases are presented. Risk factors, including recurring and nonrecurring, for obstetrical hemorrhage, are reviewed. Delivery preparations and preventative strategies are discussed. Methodologies that better quantify blood loss, allowing for earlier recognition of excessive blood loss, are presented. Management of the patient experiencing obstetric hemorrhage, including a review of current guidelines for blood component replacement therapy, are reviewed.
Expert Reviewer: Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB
Dr. Cusick earned his medical degree from the Medical College of Ohio. He completed his residency at the University of Connecticut School of Medicine. Post-residency, he completed a fellowship in Maternal-Fetal Medicine at the University of Connecticut. Dr. Cusick is board-certified in OB/GYN and Maternal-Fetal Medicine, is an ARDMS-accredited sonographer, and is certified in first-trimester screening through the Fetal Medicine Foundation. He is an assistant clinical professor in Obstetrics and Gynecology at the University of Connecticut School of Medicine and at the Quinnipiac University Frank Netter School of Medicine. Dr. Cusick holds membership in the Alpha Omega Alpha Honor Medical Society, American College of Obstetricians and Gynecologists, Society of Maternal Fetal Medicine, and American Institute of Ultrasound in Medicine, and serves on the board of The Fetal Medicine Foundation.Disclosure: William Cusick, MD, MFM, FACOG has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Expert Reviewer: Susan Hale, DNP, RNC-OB, C-EFM
Dr. Patricia (Patti) Hensley is a highly motivated nursing educator with over 20 years of experience in the obstetric and newborn platform. Patti has spent years in the hospital setting advocating for patient safety, quality improvement and professional development and is now working to educate America’s future nurses with a combination of didactic, online and simulation methods of teaching. Patti further shares her knowledge of obstetrics as a subject matter expert, writer and reviewer, for an educational assessment company.Disclosure: Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Dr. Hale is the Clinical Program Development Manager at AWHONN and a DNP Mentor at Capella University. Her clinical career has been in obstetric and neonatal care. While an AWHONN member, Dr. Hale served as the Chair of Communications for the AWHONN Ohio Section as well as Section Chair; a member of various committees; Chair of the Membership Committee; Team Lead for the AWHONN Nursing Care of the Women Receiving Regional Analgesia/Anesthesia in Labor Evidence-Based Clinical Practice Guideline; Corresponding Member to AWHONN’s 2019 Convention Program Committee; and Champion/Lead for the AWHONN Ohio Diaper Drive. Disclosure: Susan Hale, DNP, RNC-OB, C-EFM has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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