JADA no Pinkett Smith by Kaitlyn Chang

CliftonStrengths

kaitchang23 — 2025-05-22 05:17:51 UTC

Achiever: perseverance and desire to achieve something. Working with others as a team to complete a common goal.
Consistency: routine, normalcy of sorts, equity and equality
Strategic: planning, because without a plan you're doomed to fail or have issues along the way. Not receptive of the concept that there is only one way to do something, because most of the time that is not the case.
Significance: knowing there's more than what meets the eye/what's in front of me. Focusing on the bigger picture to. Encouraging and pushing others to be their best and do their best work. Associating with people whom want to achieve bigger, better and have goals.
Futuristic: dreamer/wonderer, thoughts of what could be or what would be great ideas/improvements to better the future

Teams

kaitchang23 — 2025-05-22 05:20:41 UTC

Angelica (analytical): similarities in strategic thinking, can analyze the pros and cons of situations. Understand the logistics and ask lots of questions/very thorough.
Carter (communication): great with presenting/presentations, understanding all modes of communication to best fit everyone's needs. Knows how to appeal to the public. Able to positively influence and communicate with others/the team.
Cindy (connectedness): sees the big picture, and doesn't dwell on the small things. If something goes not as planned, focus is geared towards what we can do not what we can't. Belief there's a reason for everything good or bad.
Pablo (positivity): upbeat attitude, praises/encourages others, open-minded.
Amelia (adaptability): can "go-with the flow" which is great in any field, but especially healthcare. More receptive to unpredictability. Doesn't look so far ahead, very much present and focused on the "now"/what's in front of them

Pros

kaitchang23 — 2025-05-22 05:23:29 UTC

Quick cessation of abnormal postpartum bleeding or postpartum hemorrhage
Bleeding controlled within 3 minutes
Ease of use
Removal, post successful use, can happen 1.5 to 24 hours after initial placement (ultimately up to MD discretion)

(D'Alton, MD et al., 2021)

Cons

kaitchang23 — 2025-05-22 05:23:34 UTC

Ongoing intrauterine pregnancy
If the cervix is dilated less than 3cm
No retained products of conception
Abnormal uterus (uterine inversion, uterine rupture) in terms of anatomy
Infection of the vagina, cervix, or uterus
Current cervical cancer
Patients with less than 34 weeks gestation
Patients with placenta accreta
Patients with a diagnosis of coagulopathy
(D'Alton, MD et al., 2021)

Opinion & Rationale

kaitchang23 — 2025-05-22 05:24:49 UTC

In my opinion, the JADA is a great innovation. With maternal mortality on the rise for numerous factors, I am thankful for an innovation like this one to help mitigate hemorrhaging/postpartum bleeding. When analyzing the postpartum arena, monitoring bleeding is a huge part of the mother's care along with vitals, pain, neurological status, etc. I think innovations such as the JADA are just the beginning of creative and minimally invasive interventions to provide continued safe patient care.

kaitchang23 — 2025-05-22 05:33:00 UTC

kaitchang23 — 2025-05-22 05:37:13 UTC

kaitchang23 — 2025-05-22 05:42:36 UTC

kaitchang23 — 2025-05-22 05:44:41 UTC

kaitchang23 — 2025-05-22 06:03:33 UTC

kaitchang23 — 2025-05-22 06:07:13 UTC

Summary

kaitchang23 — 2025-05-25 15:15:51 UTC

Postpartum hemorrhage(PPH) is usually due to uterine atony. When there is an abnormal amount of bleeding postpartum the fundus is primarily massaged to help with contracting the uterus and slow the bleeding. Sometimes massaging the fundus is not enough with postpartum bleeding and other measures are necessary to help with decreasing further blood loss. When the estimated blood loss (EBL) is between 1,000-1,500mL medical interventions like an intrauterine device, the JADA, are warranted. The JADA is a 1x use an intrauterine device to assist in the cessation of a postpartum hemorrhage or uncontrollable bleeding of the uterus. The JADA simply is a silicone loop lined with vacuum pores. The silicone loop is inserted vaginally then a cervical seal on the JADA is inflated with 60-120mL of sterile water to help keep the JADA in place. The tubing is then connected to wall suction at 80mmg HG+/-10mmgHG. The JADA will assist in contracting the uterus (just as if a person were palpating/"massaging" the fundus). Blood should then drain into the wall canister. The JADA is not a substitute for extreme measures like MTP or invasive procedures, if there is still continued blood loss. If the JADA experiences "device failure", such as failed vacuum seal or ongoing bleeding it should be removed immediately and other interventions should be implemented to control the bleeding. Removal of the JADA can happen as early as 1.5 hours or later as 24 hours, it depends on the MD. When considering discontinuing vacuum suction this may be done after an hour of use and the JADA should stay in place 30 minutes without suction with a deflated cervical seal before removing it. Vital signs, patient status, quantitative blood loss (QBL) and uterine tone should be considered as well. (Overton, MD et al., 2024).

References

kaitchang23 — 2025-05-25 19:24:51 UTC