TY - JOUR
T1 - Policies for manual removal of placenta at vaginal delivery
T2 - variations in timing within Europe
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
Y1 - 2009
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
M3 - Article
SN - 1471-0528
VL - 116
SP - 119
EP - 124
JO - BJOG: An International Journal of Obstetrics & Gynaecology
JF - BJOG: An International Journal of Obstetrics & Gynaecology
IS - 1
ER -