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

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 -