dc.contributor.author | Webster, Joan | |
dc.contributor.author | Larsen, Emily | |
dc.contributor.author | Booker, Catriona | |
dc.contributor.author | Laws, Janelle | |
dc.contributor.author | Marsh, Nicole | |
dc.date.accessioned | 2018-03-20T12:30:44Z | |
dc.date.available | 2018-03-20T12:30:44Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 0004-8666 | |
dc.identifier.doi | 10.1111/ajo.12759 | |
dc.identifier.uri | http://hdl.handle.net/10072/371655 | |
dc.description.abstract | Background: Insertion of a 16 or 18 gauge peripheral intravenous catheter is a
potentially painful intervention but one frequently experienced by pregnant
women when admitted to hospital. Although the rationale for this practice is ‘in
case of an emergency bleed’, evidence for using large-bore catheters in this population
is absent.
Aims: (i) To identify the proportion of 18 gauge or larger peripheral catheters inserted
into maternity patients; and (ii) to investigate the proportion of women
who require blood products during their perinatal period.
Materials and Methods: Data from a sub-set of maternity patients who were
included in a study of risk factors for peripheral intravenous access failure were
analysed using descriptive statistics.
Results: One hundred and fourteen catheters were inserted in 95 women. Of the
95 first-inserted catheters, 84 (88.4%) were 16 or 18 gauge and 69 (82.1%) of
these were placed in the hand or wrist. Four women (4%) received blood products,
all were for non-urgent transfusions.
Conclusion: Postpartum haemorrhage requiring a blood transfusion remains a
relatively rare event. Comprehensive risk assessment should be undertaken before
inserting large-bore catheters in perinatal women. Small veins in the hand
and wrist should not be used for large bore catheters. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley-Blackwell Publishing | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 5 | |
dc.relation.ispartofjournal | Australian and New Zealand Journal of Obstetrics and Gynaecology | |
dc.subject.fieldofresearch | Reproductive medicine not elsewhere classified | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 321599 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.title | Prophylactic insertion of large bore peripheral intravenous catheters in maternity patients for postpartum haemorrhage: A cohort study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.description.notepublic | This publication has been entered into Griffith Research Online as an Advanced Online Version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Larsen, Emily N. | |