Postpartum Blood Loss Measurement Using Digital Image Processing

¹ Postgraduate Applied Midwifery, Poltekkes Kemenkes Semarang, Semarang - Indonesia
² Department of Physics, Faculty of Mathematics and Natural Sciences, Diponegoro University, Semarang - Indonesia

^* Corresponding author: siskafebrinafauziah90@gmail.com

Abstract

Most of maternal mortality is directly caused by obstetric hemorrhage and almost three-quarters of it take place in postpartum period. The risk of maternal death due to hemorrhage can be reduced with prompt and proper care that in turn relates to the blood loss measurement method used. Unfortunately, the most commonly practiced method is not yet accurate enough. This research proposes a postpartum blood loss measurement method using digital image processing. Initially, characterization is carried out to find out blood absorbance against digital image area and blood volume in the underpad. Results of this characterization then serve as the basis for blood loss measurement using digital image processing. This measurement basis is validated by measuring blood volume lost during delivery care. Results show that the area and volume of blood absorbed in the underpad has significant linear relation (R = 0.9734). Digital image processing can be used to measure postpartum blood loss with a high accuracy up to 83.7%. The use of this method is therefore an accurate and objective alternative to the other available method. Nonetheless, the use of this new method must also adhere to standard guidelines in delivery care as to ensure the utmost outcomes.