The experience of postpartum bleeding in women with inherited bleeding disorders
Abstract Introduction Postpartum hemorrhage (PPH) affects 6% of all deliveries and is the leading cause of maternal death worldwide (19.7%). The incidence of PPH in women with inherited bleeding disorders is substantially greater than in unaffected women; however, estimates of relative risk are high...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-10-01
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| Series: | Research and Practice in Thrombosis and Haemostasis |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rth2.12246 |
| _version_ | 1827884885585428480 |
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| author | Heather VanderMeulen Jessica Petrucci Georgina Floros Filomena Meffe Katie N. Dainty Michelle Sholzberg |
| author_facet | Heather VanderMeulen Jessica Petrucci Georgina Floros Filomena Meffe Katie N. Dainty Michelle Sholzberg |
| author_sort | Heather VanderMeulen |
| collection | DOAJ |
| description | Abstract Introduction Postpartum hemorrhage (PPH) affects 6% of all deliveries and is the leading cause of maternal death worldwide (19.7%). The incidence of PPH in women with inherited bleeding disorders is substantially greater than in unaffected women; however, estimates of relative risk are highly variable. To date, their experience with postpartum bleeding has not been well studied. Objective We set out to explore the experience with, understanding of, and attitudes regarding postpartum bleeding among women with inherited bleeding disorders. Methods This qualitative study involved focused interviews of women with inherited bleeding disorders about postpartum bleeding. Women followed at a multidisciplinary clinic for women with inherited bleeding disorders who have experienced childbirth within the last 5 years were included in the study. The interview style was semistructured. Interviews continued until the point of saturation of themes. All interviews were transcribed and then analyzed using qualitative descriptive analysis. Results We interviewed 10 women with inherited bleeding disorders. Themes that emerged were normalization of excessive vaginal bleeding, difficulty distinguishing normal from abnormal postpartum bleeding, and empowerment of women by having a clear delivery care plan. Conclusion In this study, women with inherited bleeding disorders were desensitized to heavy vaginal blood loss. As a result, excessive postpartum bleeding was not recognized by many of the women we interviewed. Results highlight the importance of a multidisciplinary delivery care plan for these women. Findings revealed key areas for targeted multidisciplinary intervention. |
| first_indexed | 2024-03-12T19:37:18Z |
| format | Article |
| id | doaj.art-3fa036ab72044ef08ef43cbff62db1c1 |
| institution | Directory Open Access Journal |
| issn | 2475-0379 |
| language | English |
| last_indexed | 2024-03-12T19:37:18Z |
| publishDate | 2019-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Research and Practice in Thrombosis and Haemostasis |
| spelling | doaj.art-3fa036ab72044ef08ef43cbff62db1c12023-08-02T04:05:38ZengElsevierResearch and Practice in Thrombosis and Haemostasis2475-03792019-10-013473374010.1002/rth2.12246The experience of postpartum bleeding in women with inherited bleeding disordersHeather VanderMeulen0Jessica Petrucci1Georgina Floros2Filomena Meffe3Katie N. Dainty4Michelle Sholzberg5Department of Medicine University of Toronto Toronto Ontario CanadaDepartment of Medicine St. Michael's Hospital University of Toronto Toronto Ontario CanadaDepartment of Medicine St. Michael's Hospital University of Toronto Toronto Ontario CanadaDepartment of Obstetrics and Gynecology St. Michael's Hospital University of Toronto Toronto Ontario CanadaInstitute of Health Policy, Management & Evaluation University of Toronto Toronto Ontario CanadaDepartment of Medicine University of Toronto Toronto Ontario CanadaAbstract Introduction Postpartum hemorrhage (PPH) affects 6% of all deliveries and is the leading cause of maternal death worldwide (19.7%). The incidence of PPH in women with inherited bleeding disorders is substantially greater than in unaffected women; however, estimates of relative risk are highly variable. To date, their experience with postpartum bleeding has not been well studied. Objective We set out to explore the experience with, understanding of, and attitudes regarding postpartum bleeding among women with inherited bleeding disorders. Methods This qualitative study involved focused interviews of women with inherited bleeding disorders about postpartum bleeding. Women followed at a multidisciplinary clinic for women with inherited bleeding disorders who have experienced childbirth within the last 5 years were included in the study. The interview style was semistructured. Interviews continued until the point of saturation of themes. All interviews were transcribed and then analyzed using qualitative descriptive analysis. Results We interviewed 10 women with inherited bleeding disorders. Themes that emerged were normalization of excessive vaginal bleeding, difficulty distinguishing normal from abnormal postpartum bleeding, and empowerment of women by having a clear delivery care plan. Conclusion In this study, women with inherited bleeding disorders were desensitized to heavy vaginal blood loss. As a result, excessive postpartum bleeding was not recognized by many of the women we interviewed. Results highlight the importance of a multidisciplinary delivery care plan for these women. Findings revealed key areas for targeted multidisciplinary intervention.https://doi.org/10.1002/rth2.12246blood coagulation disordersfemaleinheritedpostpartum hemorrhagepostpartum periodpregnancy |
| spellingShingle | Heather VanderMeulen Jessica Petrucci Georgina Floros Filomena Meffe Katie N. Dainty Michelle Sholzberg The experience of postpartum bleeding in women with inherited bleeding disorders Research and Practice in Thrombosis and Haemostasis blood coagulation disorders female inherited postpartum hemorrhage postpartum period pregnancy |
| title | The experience of postpartum bleeding in women with inherited bleeding disorders |
| title_full | The experience of postpartum bleeding in women with inherited bleeding disorders |
| title_fullStr | The experience of postpartum bleeding in women with inherited bleeding disorders |
| title_full_unstemmed | The experience of postpartum bleeding in women with inherited bleeding disorders |
| title_short | The experience of postpartum bleeding in women with inherited bleeding disorders |
| title_sort | experience of postpartum bleeding in women with inherited bleeding disorders |
| topic | blood coagulation disorders female inherited postpartum hemorrhage postpartum period pregnancy |
| url | https://doi.org/10.1002/rth2.12246 |
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