Digital postpartum hemorrhage management device (DPHMD)
Abstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. With 4...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2601-3 |
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| author | Derartu D. Tekela Abeba G. Asmare Birhan M. Gebremariam Christian A. Assegahegn Kidist D. Wami Hundessa D. Nemomssa Gizeaddis L. Simegn |
| author_facet | Derartu D. Tekela Abeba G. Asmare Birhan M. Gebremariam Christian A. Assegahegn Kidist D. Wami Hundessa D. Nemomssa Gizeaddis L. Simegn |
| author_sort | Derartu D. Tekela |
| collection | DOAJ |
| description | Abstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. With 470 deaths per 100,000 live births, the maternal mortality ratio in Ethiopia is one of the highest in the world. It is estimated that 94% of births occur at home in Ethiopia and that 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate. Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve. Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD. Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage. |
| first_indexed | 2024-12-11T04:39:20Z |
| format | Article |
| id | doaj.art-adc4a28cdb5540cca5ae5ae90f717dce |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-11T04:39:20Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-adc4a28cdb5540cca5ae5ae90f717dce2022-12-22T01:20:40ZengBMCBMC Pregnancy and Childbirth1471-23932019-11-011911610.1186/s12884-019-2601-3Digital postpartum hemorrhage management device (DPHMD)Derartu D. Tekela0Abeba G. Asmare1Birhan M. Gebremariam2Christian A. Assegahegn3Kidist D. Wami4Hundessa D. Nemomssa5Gizeaddis L. Simegn6School of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversitySchool of Biomedical Engineering, Jimma Institute of Technology, Jimma UniversityAbstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. With 470 deaths per 100,000 live births, the maternal mortality ratio in Ethiopia is one of the highest in the world. It is estimated that 94% of births occur at home in Ethiopia and that 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate. Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve. Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD. Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.http://link.springer.com/article/10.1186/s12884-019-2601-3Postpartum hemorrhageBlood lossBlood pressureDiagnosisFluid deliveryMaternal mortality |
| spellingShingle | Derartu D. Tekela Abeba G. Asmare Birhan M. Gebremariam Christian A. Assegahegn Kidist D. Wami Hundessa D. Nemomssa Gizeaddis L. Simegn Digital postpartum hemorrhage management device (DPHMD) BMC Pregnancy and Childbirth Postpartum hemorrhage Blood loss Blood pressure Diagnosis Fluid delivery Maternal mortality |
| title | Digital postpartum hemorrhage management device (DPHMD) |
| title_full | Digital postpartum hemorrhage management device (DPHMD) |
| title_fullStr | Digital postpartum hemorrhage management device (DPHMD) |
| title_full_unstemmed | Digital postpartum hemorrhage management device (DPHMD) |
| title_short | Digital postpartum hemorrhage management device (DPHMD) |
| title_sort | digital postpartum hemorrhage management device dphmd |
| topic | Postpartum hemorrhage Blood loss Blood pressure Diagnosis Fluid delivery Maternal mortality |
| url | http://link.springer.com/article/10.1186/s12884-019-2601-3 |
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