[Patient blood management in the preparation for birth, obstetrics and postpartum period]

Area of Science:

• Obstetrics and Gynecology
• Anesthesiology
• Hematology

Background:

• Patient blood management (PBM) is standard in operative medicine.
• There is growing interest in applying PBM principles to pregnant women and neonates.
• Prenatal care offers a critical window for PBM implementation in pregnancy.

Purpose of the Study:

• To explore the integration of patient blood management (PBM) into the care of pregnant women.
• To highlight the importance of early anesthesiological risk assessment and anemia management during pregnancy.
• To emphasize the need for interdisciplinary preventive measures and coordinated postpartum care.

Main Methods:

• Integrating PBM into the anesthesiological informed consent process prior to childbirth.
• Conducting anesthesiological risk estimation and diagnostic workup for anemia during pregnancy.
• Implementing interdisciplinary measures to reduce anticipated blood loss and organizing postpartum care.

Main Results:

• Early diagnosis and treatment of anemia and iron deficiency during pregnancy.
• Proactive management of potential bleeding complications through preventive strategies.
• Structured postpartum care ensuring continued management analogous to prenatal care.

Conclusions:

• Patient blood management (PBM) is feasible and beneficial for pregnant women.
• Integrating PBM into prenatal and postpartum care improves maternal and neonatal outcomes.
• A multidisciplinary approach is essential for successful PBM implementation in obstetrics.