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Currently 3111 records
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Created on : 08 Oct 2004
Modified on : 27 Oct 2018

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Bibliographical entry (without author) :

Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education. Short Communication. BJOG. 2004 May;111(5):495-8.

Author(s) :

Rizvi F, Mackey R, Barrett T, McKenna P, Geary M.

Year of publication :

2004

URL(s) :

https://obgyn.onlinelibrary.wiley.com/doi/full/10.…
https://doi.org/10.1111/j.1471-0528.2004.00103.x

Résumé (français)  :

Abstract (English)  :

We reviewed all cases of massive primary postpartum haemorrhage greater than 1000 mL over a six month period in 1999 to establish the incidence, identify aetiological factors and implement change. Fifty-four cases (1.7%) were identified. We classified four as ’near-miss’ maternal mortality. Over 60% were delivered by caesarean section. Seventy-six percent were due to uterine atony, 9% due to genital tract trauma and 15% were associated with significant antepartum haemorrhage from placenta praevia or abruption. No obvious labour or delivery risk factors were identified but deviation from hospital guidelines was common. Following revision of the guidelines, dissemination to staff and use of practice drills, we repeated the study on a prospective basis over the same time period in 2002. There was a significant reduction in the incidence of massive postpartum haemorrhage to 0.45%, and 100% adherence to the guidelines which resulted in a significant reduction in maternal morbidity. We believe that this approach can be replicated in other units.

Sumário (português)  :

Resumen (español)  :

Full text (public) :

Comments :

Argument (français) :

Un Hopital irlandais : la mise en place d’un protocole strict a fait diminuer les HPP graves.

Argument (English):

An Irish Hospital: the implementation of a strict protocol has reduced serious HPP.

Argumento (português):

Um hospital irlandês: a implementação de um protocolo rigoroso reduziu o HPP grave.

Argumento (español):

Keywords :

➡ c-section/caesarean ; evidence-based medicine/midwifery ; placenta previa/accreta ; guidelines ; perineal/vaginal tears ; postpartum hemorrhage ; morbidity ; informed consent

Author of this record :

Cécile Loup — 08 Oct 2004
➡ latest update : Bernard Bel — 27 Oct 2018