ETTF funding – Postpartum hemorrhage (PPH) Collaboration

My name is Dr. Sarah Bell , I am a consultant anaesthetist. working in the University hospital of Wales and we received an ETTF grant last autumn for a project called Ops Cymru which is a national project looking to improve the care of women who experience postpartum hemorrhage during their delivery. So when we’re looking to improve the care that we’re delivering women specifically what we’re looking at is how we identify women who are having a postpartum hemorrhage how we manage their care and how we can manage that when they bleed with regards to their clotting and their clotting products and with this we’re using our experience of research in Cardiff university and Cardiff and Vale NHS and working with a company called Rotem who have a product which enables us to use point-of-care testing so bedside testing / women’s clotting to then inform us as to how we should then give them clotting products and so we’re moving away from giving empirical treatment to women and giving them large amounts of blood and blood product and giving them specific products – identifying what their clotting is and then and then tailoring the products that we give to that clotting profile in a timely basis rather than relying on laboratory tests which may take hours to for us to get back so this project has involved partnership working with initially myself and the project management team in Cardiff and Vale and our procurement team negotiating and working closely with this the company called Rotem who are technology company who offer this point of care testing device and having had experience in using this device over a number of years particular in a research setting in Cardiff we’re now going to roll out using an automated device across all of the consult -led delivery suites in Wales of which there are 12 and our project will look to capture data of process and outcome measures throughout the project initially prior to using that technology and then once we install the technology into all of these hospitals in a stepwise manner we will then collect data to look to see whether we can improve the care that we provide our women specifically reducing intensive care admissions and reducing hysterectomy rates which are really at the far end of the spectrum of women who experience postpartum haemorrhage care.

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