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Labour and Delivery Posters
Audit of massive obstetric haemorrhage in southmead hospital using modified Scottish confidential audit of severe maternal morbidity (SCASMM) data collection tool: Nov 2010 – OCT 2011
  1. EH Shaw,
  2. J Richardson,
  3. S McKenna,
  4. L Davies,
  5. SG Barnfield
  1. Southmead Hospital. North Bristol NHS Trust, Bristol, United Kingdom


To fulfil both risk management and CNST, we audit all haemorrhage >2000ml identified through EuroKing, against our departmental guideline, in a monthly multidisciplinary risk meeting (including laboratory staff). A modified data collection tool from SCASMM is used. Comparison is made with the most recent (2009) annual Scottish audit of haemorrhage >2500ml.

Conclusions Data is broadly comparable with a recognised national audit. Our process provides a robust method for continuous audit of haemorrhage. Introduction of a proforma (Nov 2010), presentation at departmental meetings (6 month intervals) and improved awareness/accountability has achieved improvements including:

Increased obstetric consultant presence;

Improved documentation;

Reduced blood in major haemorrhage pack from 6 to 4 units (>4 units only used in 9.7%).

Abstract PL.31 Table

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