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Policies for manual removal of placenta at vaginal delivery

Policies for manual removal of placenta at vaginal delivery : variations in timing within Europe

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Authors

  • C. Deneux-Tharaux
  • A. Macfarlane
  • C. Winter
  • W-H Zhang
  • S. Alexander
  • M-H Bouvier-Colle
  • EUPHRATES Grp

Research units

Info

Original languageEnglish
Pages119-124
Number of pages6
JournalBJOG: An International Journal of Obstetrics & Gynaecology
Journal publication date2009
Journal number1
Volume116
DOIs
StatePublished

Abstract

The length of the third stage of labour is a potential modifiable risk factor for postpartum haemorrhage at vaginal delivery, but there is no definitive evidence that early intervention to remove the placenta manually will prevent postpartum haemorrhage. We report a wide variation between countries in Europe in policies about the timing of manual removal of placenta. Two groups of countries with clearly divergent policies were identified. A randomised controlled trial is needed to provide definitive evidence on the risks and benefits of manual removal of placenta at different timings after vaginal delivery.

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