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.
|Number of pages||6|
|Journal||BJOG: An International Journal of Obstetrics & Gynaecology|
|Publication status||Published - 2009|
- Manual removal of placenta
- Prevention policies
- Postpartum haemorrhage
- Third stage of labour