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dc.contributor.authorWebster, Joan
dc.contributor.authorLarsen, Emily
dc.contributor.authorBooker, Catriona
dc.contributor.authorLaws, Janelle
dc.contributor.authorMarsh, Nicole
dc.date.accessioned2018-03-20T12:30:44Z
dc.date.available2018-03-20T12:30:44Z
dc.date.issued2018
dc.identifier.issn0004-8666
dc.identifier.doi10.1111/ajo.12759
dc.identifier.urihttp://hdl.handle.net/10072/371655
dc.description.abstractBackground: 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.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto5
dc.relation.ispartofjournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
dc.subject.fieldofresearchReproductive medicine not elsewhere classified
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode321599
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleProphylactic insertion of large bore peripheral intravenous catheters in maternity patients for postpartum haemorrhage: A cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.hasfulltextNo Full Text
gro.griffith.authorLarsen, Emily N.


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