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Postpartum haemorrhage

Postpartum haemorrhage: latest developments in prediction, drug treatment and monitoring

It is commonly stated that postpartum haemorrhage is unpredictable, and so midwives and obstetricians always need to be prepared (Weeks and Neilson, 2015). While this is true to a certain extent, it...

Carbetocin vs oxytocin in third stage labour: a quantitative review of low- and middle-income countries

This review was carried out to determine if the use of carbetocin in low- and middle-income countries would reduce the risk of postpartum haemorrhage, and associated morbidity and mortality, in...

Third stage of labour management approaches and postpartum haemorrhage in midwife-led units

A literature review by Baker and Stephenson (2022) previously published in the British Journal of Midwifery reported nine published research papers directly or indirectly comparing the incidence of...

Investigating active versus expectant management of third stage labour in a midwife-led unit

The PICOS (Population, Intervention, Comparison and Outcomes, Study) tool was used as a structure to organise a list of terms, addressing the main issues in the research question (Table 1)..

A review of third stage of labour care guidance

Active management aims to accelerate delivery of the placenta to reduce blood loss. A prophylactic uterotonic drug (exogenous oxytocin) is given to accelerate the contractility of the uterus, to cause...

Postpartum haemorrhage and synthetic oxytocin dilutions in labour

In their early careers, both authors observed minute blood losses after spontaneous labours. Later returning to work on a labour ward, Monica was surprised to find major postpartum haemorrhage being...

Postpartum haemorrhage: Aetiology and intervention

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide (Knight and Paterson-Brown, 2017) It accounts for one-quarter of all maternal deaths and 100 000 deaths every...

Improving practice and reducing significant postpartum haemorrhage through audit

The midwife-led birthing unit (MLBU) at Norfolk and Norwich University NHS Foundation Trust provides care for approximately 1000 healthy, low-risk women annually Evidence has indicated that these...

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