Evidence map›Paper›PMID 25481692›Full record

ArticleBMC pregnancy and childbirth2014

Postpartum haemorrhage in midwifery care in the Netherlands: validation of quality indicators for midwifery guidelines.

Marrit Smit, Kar-Li L Chan, Johanna M Middeldorp, Jos van Roosmalen

Abstract readValidation Study
In one paragraph

Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marrit SmitDepartment of Obstetrics, Leiden University Medical Centre, K6-35, PO Box 9600, Leiden, 2300 RC, the Netherlands. m.smit.verlos@lumc.nl.
Kar-Li L ChanDepartment of Obstetrics, Leiden University Medical Centre, K6-35, PO Box 9600, Leiden, 2300 RC, the Netherlands. karlichan1988@gmail.com.
Johanna M MiddeldorpDepartment of Obstetrics, Leiden University Medical Centre, K6-35, PO Box 9600, Leiden, 2300 RC, the Netherlands. J.M.Middeldorp@lumc.nl.
Jos van RoosmalenEMGO Institute for Health and Care Research Department of Medical Humanities, VU University Medical Centre, Amsterdam, the Netherlands. J.J.M.van_Roosmalen@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum haemorrhage (PPH) is still one of the major causes of severe maternal morbidity and mortality worldwide. Currently, no guideline for PPH occurring in primary midwifery care in the Netherlands is available. A set of 25 quality indicators for prevention and management of PPH in primary care has been developed by an expert panel consisting of midwives, obstetricians, ambulance personal and representatives of the Royal Dutch College of Midwives (KNOV) and the Dutch Society of Obstetrics and Gynecology (NVOG). This study aims to assess the performance of these quality indicators as an assessment tool for midwifery care and suitability for incorporation in a professional midwifery guideline.

methodsFrom April 2008 to April 2010, midwives reported cases of PPH. Cases were assessed using the 25 earlier developed quality indicators. Quality criteria on applicability, feasibility, adherence to the indicator, and the indicator's potential to monitor improvement were assessed.

results98 cases of PPH were reported during the study period, of which 94 were analysed. Eleven indicators were found to be applicable and feasible. Five of these indicators showed improvement potential: routine administration of uterotonics, quantifying blood loss by weighing, timely referral to secondary care in homebirth and treatment of PPH using catherisation, uterine massage and oxytocin and the use of oxygen.

conclusionsEleven out of 25 indicators were found to be suitable as an assessment tool for midwifery care of PPH and are therefore suitable for incorporation in a professional midwifery guideline. Larger studies are necessary to confirm these results.

Indexed as

Outcome and Process Assessment, Health CarePrimary Health CareQuality Indicators, Health CareAdultFemaleHome ChildbirthHumansMidwiferyNetherlandsOxytocinPostpartum HemorrhagePractice Guidelines as TopicPregnancyReferral and ConsultationYoung AdultOxytocin

Identifiers

PMID25481692
PMCPMC4266235

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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.