Factors that predict low hematocrit levels in the postpartum patient after vaginal delivery

L. A. Petersen
D. S. Lindner
Charmaine Kleiber, University of Iowa
M. B. Zimmerman
A. T. Hinton
J. Yankowitz

Abstract

OBJECTIVE: The purpose of this study was to provide a viable alternative to routine postpartum hematocrit measurement, by a determination of the clinical risk factors that identify patients with anemia and an examination of the resulting cost savings. STUDY DESIGN: In this retrospective review, cases (postpartum hematocrit level, 500 mL, Hispanic ethnicity, dizziness, or third- or fourth-degree laceration were the factors that identified 82.9% of the women with hematocrit levels of 500 mL, Hispanic ethnicity, dizziness, or third- or fourth-degree laceration were the factors that identified 82.9% of the women with hematocrit levels of 500 mL, Hispanic ethnicity, dizziness, and third- or fourth-degree laceration) can safely determine the necessity of a postpartum hematocrit measurement.