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Titre : | A review of the current management of postpartum haemorrhage in the Republic of Ireland, using a case study approach (2022) |
Auteurs : | Imelda Fitzgerald ; Rhona O'Connell ; Paul Hughes ; Priscilla Lyons ; Joye McKernan ; Richard Greene ; Paul Corcoran |
Type de document : | Article |
Dans : | Midwifery Digest (Midirs) (Vol. 32, n° 4, December 2022) |
Article en page(s) : | p. 505-511 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs de risque ; Hémorragie de la délivrance ; Hôpitaux ; Irlande ; Parturition ; Présentations de cas ; Sage-femme |
Résumé : |
Objective: To get a better understanding of the steps taken during a postpartum haemorrhage (PPH) in the Republic of Ireland.
Design: Population-based retrospective cohort study. Hospital births in Ireland during 2020. Methods: A PPH proforma data collection tool was used to understand what occurred during each PPH, the management provided to the woman and the medication received. Main outcomes: Escalation of care to multidisciplinary team (MDT), mode of birth, quantifying blood loss. Results: The 53 PPH proformas collected from two maternity units were comprised of: 43 per cent (23) mild PPH (500-1000ml); 34 per cent (18) moderate PPH (1000-1500ml); and 22 per cent (12) severe PPH (over 1500ml). The blood volume ranged from 500m! to 4.1 litres. The most immediate response on recognition of a PPH, by midwives or obstetric doctors who diagnosed the blood loss following childbirth as excessive, was to administer a Syntocinon infusion as the first line of treatment. Conclusions: Potential improvements for care during a PPH include: the first treatment of 'hand on fundus, call for help'; midwives managing the PPH with use of other treatments and medications while escalating care; timely escalation of emergency phone; an MDT approach to manage the PPH; and quantification of blood loss. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
Midwifery Digest (Midirs). Vol. 32, n° 4 (December 2022) | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |