OBJECTIVE: To compare the outcomes of postpartum @entity548 (PPH) episodes before and after the introduction of a clinical pathway known as the Severance Protocol to save postpartum bleeding through Expeditious care Delivery (SPEED). DESIGN: This study was designed as a retrospective analysis. SETTING: The study was conducted in a hospital implementing SPEED. @entity1 : The non-SPEED group included 74 @entity1 with PPH who were treated before the introduction of SPEED, whereas the SPEED group included 155 @entity1 . METHODS: Differences in outcomes were compared between groups. MAIN OUTCOME MEASURES: Reduction in treatment duration was the primary outcome measure, whereas uterus preservation was the secondary. RESULTS: No significant intergroup differences were observed for hemoglobin levels, hematocrit values and vital signs upon @entity1 ' emergency room arrival. The turnaround time for hemoglobin, mean duration until treatment by obstetricians and gynecologists and duration between chest radiography ordering and performance significantly differed between the two groups (SPEED, 10.0 [1.0-30.0], 3.0 [0-25.0] and 23.0 [1.0-86.0] min, respectively; non-SPEED, 17.0 [1.0-37.0], 12.0 [0-62.0] and 46.0 [1.0-580.0] min, respectively; P < 0.001). Similarly, the mean duration until transfusion of cross-matched red blood cells (SPEED, 77.6    58.6 min; non-SPEED, 103.4    64.4 min; P = 0.015) and uterus preservation rate (SPEED, 90.1% [136/151]; non-SPEED, 81.7% [58/71]; P = 0.043) also differed significantly between the groups. CONCLUSIONS: Clinical pathways enable prompt and efficient care for @entity1 experiencing PPH through faster evaluation and access to red blood cell transfusion, resulting in a decrease in maternal mortality.

Implementation of a multidisciplinary clinical pathway for the management of postpartum XXXX : a retrospective study.

@entity1 :: ('9606', 'Species') :: ['PARTICIPANTS', 'patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage']
@entity548 :: (MESH:D006470,Disease) :: ['hemorrhage']
