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

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

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    16 Citations (Scopus)

    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.
    Original languageEnglish
    Pages (from-to)119-124
    Number of pages6
    JournalBJOG: An International Journal of Obstetrics & Gynaecology
    Volume116
    Issue number1
    DOIs
    Publication statusPublished - 2009

    Keywords

    • Manual removal of placenta
    • Prevention policies
    • Postpartum haemorrhage
    • Third stage of labour

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  • Cite this

    Deneux-Tharaux, C., Macfarlane, A., Winter, C., Zhang, W-H., Alexander, S., Bouvier-Colle, M-H., & EUPHRATES Grp (2009). Policies for manual removal of placenta at vaginal delivery: variations in timing within Europe. BJOG: An International Journal of Obstetrics & Gynaecology, 116(1), 119-124. https://doi.org/10.1111/j.1471-0528.2008.01996.x