ArticleBJOG : an international journal of obstetrics and gynaecology2007
Variations in policies for management of the third stage of labour and the immediate management of postpartum haemorrhage in Europe.
Article in BJOG : an international journal of obstetrics and gynaecology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 31 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Carbetocin Versus Oxytocin in the Prevention of Post Partum Haemorrhage (PPH) in Women Undergoing Caesarean Sections for Placenta Previa: A Randomised Controlled Trial
Carbetocin Versus Oxytocin in the Prevention of Post Partum Haemorrhage (PPH) in Women Delivered Vaginally With at Least 2 Risk Factors for Atonic PPH: A Randomised Controlled Trial
Carbetocin Versus Oxytocin in the Management of Atonic Post Partum Haemorrhage (PPH) in Women Delivered Vaginally: A Randomised Controlled Trial
Ergometrine Versus Oxytocin in the Management of Atonic Post-partum Haemorrhage (PPH) in Women Delivered Vaginally: A Randomised Controlled Trial
Carbetocin Versus Oxytocin in the Management of Atonic Post Partum Haemorrhage (PPH) in Women Delivered Vaginally: A Randomised Controlled Trial
Examining the Effect of Placenta Delivery Method on Postpartum Pain, Bleeding and Comfort of Women: Randomized Controlled Study
Who cites it
31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 148 citations in OpenAlex.
- Active versus expectant management for women in the third stage of labour.The Cochrane database of systematic reviews · 2019Pooled it
- Controlled cord traction for the third stage of labour.The Cochrane database of systematic reviews · 2015Pooled it
- Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes.The Cochrane database of systematic reviews · 2013Pooled it
- Umbilical vein injection for the routine management of third stage of labour.The Cochrane database of systematic reviews · 2012Pooled it
- Active versus expectant management for women in the third stage of labour.The Cochrane database of systematic reviews · 2011Pooled it
- Comparative satisfaction and effectiveness of virtual simulation and usual supervised work for postpartum hemorrhage management: a crossover randomized controlled trial.BMC medical education · 2022Trial
- Effect of routine controlled cord traction as part of the active management of the third stage of labour on postpartum haemorrhage: multicentre randomised controlled trial (TRACOR).BMJ (Clinical research ed.) · 2013Trial
- Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomised controlled trial.BMJ (Clinical research ed.) · 2011Trial
- Multifaceted intervention to decrease the rate of severe postpartum haemorrhage: the PITHAGORE6 cluster-randomised controlled trial.BJOG : an international journal of obstetrics and gynaecology · 2010Trial
- Effect of a collector bag for measurement of postpartum blood loss after vaginal delivery: cluster randomised trial in 13 European countries.BMJ (Clinical research ed.) · 2010Trial
- Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping.Birth (Berkeley, Calif.) · 2022Review
- Umbilical cord clamping and management of the third stage of labor: A telephone-survey describing Swedish midwives' clinical practice.European journal of midwifery · 2022Article
- Implementation of Delayed Cord Clamping for 3 Min During Term Cesarean Sections Does Not Influence Maternal Blood Loss.Frontiers in pediatrics · 2021Article
- Variability of Clinical Practice in the Third Stage of Labour in Spain.Journal of clinical medicine · 2019Article
- Improbable, but plausible, research study: a randomised controlled trial of premature cord clamping vs. neonatal venesection to achieve routine prophylactic neonatal red cell reduction.Journal of the Royal Society of Medicine · 2018Review
- Variation in severe postpartum hemorrhage management: A national vignette-based study.PloS one · 2018Article
- Article
- Variations in Postpartum Hemorrhage Management among Midwives: A National Vignette-Based Study.PloS one · 2016Article
- Staff and Institutional Factors Associated with Substandard Care in the Management of Postpartum Hemorrhage.PloS one · 2016Article
- Can inter-professional simulation training influence the frequency of blood transfusions after birth?Acta obstetricia et gynecologica Scandinavica · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 16 institutions in 14 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe EUropean Project on obstetric Haemorrhage Reduction: Attitudes, Trial, and Early warning System (EUPHRATES) is a set of five linked projects, the first component of which was a survey of policies for management of the third stage of labour and immediate management of postpartum haemorrhage following vaginal birth in Europe.
objectivesThe objectives were to ascertain and compare policies for management of the third stage of labour and immediate management of postpartum haemorrhage in maternity units in Europe following vaginal birth.
designSurvey of policies.
settingThe project was a European collaboration, with participants in 14 European countries. SAMPLE: All maternity units in 12 countries and in selected regions of two countries in Europe.
methodsA postal questionnaire was sent to all or a defined sample of maternity units in each participating country.
main outcome measuresStated policies for management of the third stage of labour and the immediate management of postpartum haemorrhage.
resultsPolicies of using uterotonics for the management of the third stage were widespread, but policies about agents, timing, clamping and cutting the umbilical cord and the use of controlled cord traction differed widely. For immediate management of postpartum haemorrhage, policies of massaging the uterus were widespread. Policies of catheterising the bladder, bimanual compression and in the choice of drugs administered were much more variable.
conclusionsConsiderable variations were observed between and within countries in policies for management of the third stage of labour. Variations were observed, but to a lesser extent, in policies for the immediate management of postpartum haemorrhage after vaginal birth. In both cases, policies about the pharmacological agents to be used varied widely.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.