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3 results on '"Keppel Schafer"'

1. Identifying the risk: a prospective cohort study examining postpartum haemorrhage in a regional Australian health service

Author

Lauren Kearney, Mary Kynn, Rachel Reed, Lisa Davenport, Jeanine Young, and Keppel Schafer

Subjects
Postpartum haemorrhage, Third stage labour management, Active management, Expectant management, Blood loss measures, Estimated blood loss, Gynecology and obstetrics, RG1-991
Abstract

Abstract Background In industrialised countries the incidence of postpartum haemorrhage (PPH) is increasing, for which exact etiology is not well understood. Studies have relied upon retrospective data with estimated blood loss as the primary outcome, known to be underestimated by clinicians. This study aimed to explore variables associated with PPH in a cohort of women birthing vaginally in coastal Queensland, Australia, using the gravimetric method to measure blood loss. Methods Women were prospectively recruited to participate using an opt-out consent process. Maternal demographics; pregnancy history; model of care; mode of birth; third stage management practices; antenatal, intrapartum and immediate postpartum complications; gravimetric and estimated blood loss; and haematological laboratory data, were collected via a pre-designed data collection instrument. Descriptive statistics were used for demographic, intrapartum and birthing practices. A General Linear Model was used for multivariate analysis to examine relationship between gravimetric blood loss and demographic, birthing practices and intrapartum variables. The primary outcome was a postpartum haemorrhage (blood loss > 500 ml). Results 522 singleton births were included in the analysis. Maternal mean age was 29 years; 58% were multiparous. Most participants received active (291, 55.7%) or modified active management of third stage (191, 36.6%). Of 451 births with valid gravimetric blood loss recorded, 35% (n = 159) recorded a loss of 500 ml or more and 111 (70%) of these were recorded as PPH. Gravimetric blood loss was strongly correlated with estimated blood loss (r = 0.88; p

Published
2018
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2. Identifying the risk: a prospective cohort study examining postpartum haemorrhage in a regional Australian health service

Author

Lisa Davenport, Lauren Kearney, Keppel Schafer, Jeanine Young, Mary Kynn, and Rachel Reed

Subjects
Adult, medicine.medical_specialty, Multivariate analysis, Reproductive medicine, Blood loss measures, lcsh:Gynecology and obstetrics, Postpartum haemorrhage, 03 medical and health sciences, Health services, 0302 clinical medicine, Pregnancy, Risk Factors, Estimated blood loss, medicine, Humans, Labor, Induced, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, lcsh:RG1-991, 030219 obstetrics & reproductive medicine, business.industry, Obstetrics, Postpartum Hemorrhage, Third stage labour management, Infant, Newborn, Obstetrics and Gynecology, Delivery, Obstetric, medicine.disease, Parity, Active management, Gravimetric, Multivariate Analysis, Cohort, Linear Models, Etiology, Female, Expectant management, Queensland, business, Labor Stage, Third, Research Article
Abstract

Background In industrialised countries the incidence of postpartum haemorrhage (PPH) is increasing, for which exact etiology is not well understood. Studies have relied upon retrospective data with estimated blood loss as the primary outcome, known to be underestimated by clinicians. This study aimed to explore variables associated with PPH in a cohort of women birthing vaginally in coastal Queensland, Australia, using the gravimetric method to measure blood loss. Methods Women were prospectively recruited to participate using an opt-out consent process. Maternal demographics; pregnancy history; model of care; mode of birth; third stage management practices; antenatal, intrapartum and immediate postpartum complications; gravimetric and estimated blood loss; and haematological laboratory data, were collected via a pre-designed data collection instrument. Descriptive statistics were used for demographic, intrapartum and birthing practices. A General Linear Model was used for multivariate analysis to examine relationship between gravimetric blood loss and demographic, birthing practices and intrapartum variables. The primary outcome was a postpartum haemorrhage (blood loss > 500 ml). Results 522 singleton births were included in the analysis. Maternal mean age was 29 years; 58% were multiparous. Most participants received active (291, 55.7%) or modified active management of third stage (191, 36.6%). Of 451 births with valid gravimetric blood loss recorded, 35% (n = 159) recorded a loss of 500 ml or more and 111 (70%) of these were recorded as PPH. Gravimetric blood loss was strongly correlated with estimated blood loss (r = 0.88; p

Published
2018

3. Clinical procedures manual for remote and rural practice: supporting clinical practice in the bush

Author

Sabina Knight, Andrew White, Caitlin Steiner, Chris Del Mar, Christine Connors, Frances Vaughan, Janet Struber, Jo Wright, Kerrie Gell, Nick Williams, George Tripe, Peter McCormack, Rosemary Schmidt, Andrew Lee, Carolyn MacLennan, Gaynor Garstone, Graeme Maguire, Jane Smith, Malcolm Mcdonald, Nathan Ryder, Paul Lawton, Peter May, Rachael Lockley, Rosalie Schultz, Shelley Crowther, Simon Kane, Steve Margolis, Timothy Carey, Ahmed Latif, Alan Cass, Alison Mustapha, Amanda Sanburg, Andrew Bezzina, Andrew Crowhurst, Andrew McCallum, Anne Bromhead, Anne Chang, Anne Davis, Annie Tangey, Anthony Brown, Bart Currie, Belinda Davis, Beth Amega, Bronwyn Silver, Bruce Simmons, Buddhima Lokuge, Phillips, Dr Cameron J., Cherian Sajiv, Dale Edgar, Damien Fagan, Daniel Ewald, Darryl Maybery, David Hockley, Dennis Pashen, Dion Dionysopoulos, Don Boldiston, Elise Beachley, Erik Tikoft, Fiona Wood, Geri Malone, Glenda Gleeson, Gregory Perry, Helen Vaughan, Hugh Taylor, Jason Warnock, Jennifer Alison, Joanna Keily, Joshua Davis, Julia Stewart, Keith Edwards, Lin Davis, Lisa Wallace, Louise Roufeil, Megan Halliday, Lesley Scott, Linda Medlin, Louise Maple-Brown, Lucy Little, Michele Luey, Patrick AhKit, Paul Torzillo, Peter Morris, Pippa Tessmann, Pippa Travers-Mason, Rae-Lin Huang, Ral Antic, Rita Apelt, Robert Parker, Rose Fahy, Rosemary Lee, Sandra Meihubers, Sarah Jackson, Sarah Larkins, Selina Taylor, Sharon Johnson, Rourke, Sharon O., Sheila Kavanagh, Sheryl Alexander, Sridhar Chitturi, Sue Kruske, Sue Orsmond, Sue Roth, Suzanne Connor, Timothy Henderson, Tina Hourigan, Tracy Johns, Warwick Beever, Alison Dawes, Allan Donnelly, Andrew Bisits, Anne Sneddon, Claire Boardman, David Ellwood, Donna Chung, Duncan Reed, Greg McHugh, Hannah Dahlen, Heather Mumme, Helen Land, Jenny May, Jonathon Ball, Judith Gardiner, Kathy Currie, Katie Sullivan, Koen De Decker, Libby Bowell, Lukas Arkapaw, Lyn Byers, Lyndall Young, Brien, Margaret O., Michael Nicholl, Pamela Wood, Peter Markey, Raelene Carroll, Rishi Narasimhan, Shaun Soloman, Shona Sandford, Steve Milanese, Steven Doherty, Susan Gordon, Sue Kildea, Susan Howell, Wendy Bowyer, Zi Li, Adeline Drogemuller, Alanna Watson, Andrew Urquhart, Anna Ralph, Anna Whitehead, Annie Hepner, Anton Drover, Antony Veale, Beverley Hamerton, Breanna Monk, Brycen Brook, Catherine Moody, Charles Douglas, Clare Golding, Colin Watson, Deborah Hales, Denise Sheedy, Diane Griffin, Dy Kelaart, Emslie Lankin, Evonne Thompson, Fabian Schwarz, Fay Clark, Frances Squires, Gayle Woodford, Graham Clegg, Holi Catton, Jacqueline Boyd, Jane Giles, Jeannie Campbell, Jennie McDowall, Jennifer Peters, Jeremy Downes, John Wright, Josephine Appoo, Joy Hussain, Kenneth McNeil, Keppel Schafer, Larissa Meneri, Laura Edwards, Lenaire Keatch, Lesley Woolf, Lynette Flynn, Marcel Campbell, Marjie Middleton, Mark Ramjan, Matthew Steer, Monica Ostigh, Noelene Simmonds, Patricia Woolven, Perry Burstin, Philip Hungerford, Rachael Charles, Rebecca Numina, Ree Dunn, Renita Kantawara, Sally Foxley, Sandra Bell, Sandra McElligott, Sharon Marchant, Stephen Permezel, Suzanne Lenthall, Tanya Gardner, Terrie Ivanhoe, Thea Nungala, Vicki Gordon, Stephanie MacKie-Schneider, Melinda Barlow, Allison Gray, Andrew Lal, Brenda Thornley, Dianne Bell, Erin Emmons, Georgina Brunsdon, Jessica Lopes, Sally Herring, and Sandeep Reddy

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