Transfusing Red Cells for Postpartum Hemorrhage

Do you think that maybe the trigger should be a little quicker to go to something like TXA? Absolutely would i automatically give it to every woman having a normal vaginal birth probably not but if you had ACOG and A1 have all these wonderful risk factors for postpartum hemorrhage scaled criterion. If you were at an elevated risk for hemorrhage or significant blood loss then yes i would absolutely consider it. Okay so the other thing i wanted to circle back around to Jed because you had used a phrase regarding how we will try and accommodate people's wishes as much as we can. So we did have a a patient that wanted to burn incense well on oxygen so there are things that are