Management of Labour and Postpartum Haemorrhage in Europe
Author Information
Author(s): Winter C, Macfarlane A, Deneux-Tharaux C, Zhang W-H, Alexander S, Brocklehurst P, Bouvier-Colle M-H, Prendiville W, Cararach V, van Roosmalen J, Berbik I, Klein M, Ayres-de-Campos D, Erkkola R, Chiechi L, Langhoff-Roos J, Stray-Pedersen B, Troeger C
Primary Institution: City University London
Hypothesis
What are the variations in policies for managing the third stage of labour and postpartum haemorrhage in Europe?
Conclusion
There are considerable variations in policies for managing the third stage of labour and postpartum haemorrhage across Europe.
Supporting Evidence
- Policies for using uterotonics were widespread across most countries.
- Policies about clamping and cutting the umbilical cord varied significantly.
- Immediate management practices for postpartum haemorrhage showed considerable differences.
Takeaway
Different countries in Europe have different rules about how to help mothers after they give birth, especially when there is a lot of bleeding.
Methodology
A postal questionnaire was sent to maternity units in 14 European countries to gather data on their policies.
Potential Biases
Response bias may have occurred in countries with low response rates.
Limitations
The study did not assess the actual practices in maternity units, only their stated policies.
Participant Demographics
Participants included maternity units from 12 EU member states and 2 non-member countries.
Statistical Information
P-Value
<0.0005
Statistical Significance
p<0.0005
Digital Object Identifier (DOI)
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