Policies for manual removal of placenta at vaginal delivery : variations in timing within Europe. / Deneux-Tharaux, C.; Macfarlane, A.; Winter, C.; Zhang, W-H; Alexander, S.; Bouvier-Colle, M-H; EUPHRATES Grp.
In: BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 116, No. 1, 01.2009, p. 119-124.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Policies for manual removal of placenta at vaginal delivery
T2 - variations in timing within Europe
A1 - Deneux-Tharaux,C.
A1 - Macfarlane,A.
A1 - Winter,C.
A1 - Zhang,W-H
A1 - Alexander,S.
A1 - Bouvier-Colle,M-H
A1 - EUPHRATES Grp
AU - Deneux-Tharaux,C.
AU - Macfarlane,A.
AU - Winter,C.
AU - Zhang,W-H
AU - Alexander,S.
AU - Bouvier-Colle,M-H
AU - EUPHRATES Grp
PY - 2009/1
Y1 - 2009/1
N2 - 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.
AB - 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.
KW - Manual removal of placenta
KW - Prevention policies
KW - Postpartum haemorrhage
KW - Third stage of labour
U2 - 10.1111/j.1471-0528.2008.01996.x
DO - 10.1111/j.1471-0528.2008.01996.x
M1 - Article
JO - BJOG: An International Journal of Obstetrics & Gynaecology
JF - BJOG: An International Journal of Obstetrics & Gynaecology
IS - 1
VL - 116
SP - 119
EP - 124
ER -