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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

Research output: Contribution to journalArticle

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

Research units


Original languageEnglish
Pages (from-to)119-124
Number of pages6
JournalBJOG: An International Journal of Obstetrics & Gynaecology
Issue number1
StatePublished - 2009


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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