Pramod Jadhav
Associate Professor, Department of Obstetrics & Gynecology, Smt. Kashibai Navale Medical College, Pune Bypass, Pune- 411 041
Abstract
The Clot Observation Test (COT) is an emerging tool for the early detection of coagulopathy in obstetric emergencies. Coagulopathy poses significant risks during pregnancy and childbirth, often leading to severe complications such as postpartum hemorrhage and thromboembolic events. This study evaluates the effectiveness of COT in identifying coagulopathy among pregnant women presenting with obstetric emergencies.
In this prospective cohort study, 150 pregnant women were assessed for coagulopathy using COT upon admission for obstetric emergencies. Results were compared with standard laboratory coagulation tests, including prothrombin time (PT), activated partial thromboplastin time (aPTT), and fibrinogen levels.
The findings indicate that COT demonstrated a sensitivity of 85% and specificity of 90% in detecting coagulopathy, correlating well with traditional coagulation test results. The COT could effectively identify high-risk patients, allowing for timely intervention.
These results underscore the potential utility of COT as a rapid, bedside screening tool for coagulopathy in obstetric emergencies, enhancing patient outcomes through early diagnosis and management.Keywords: Clot Observation Test, coagulopathy, obstetric emergencies, postpartum hemorrhage, screening.