Evidence map›Paper›PMID 26497307›Full record

ArticleBMC pregnancy and childbirth2015

Influencing factors for high quality care on postpartum haemorrhage in the Netherlands: patient and professional perspectives.

Mallory D Woiski, Evelien Belfroid, Janine Liefers, Richard P Grol, Hubertina C Scheepers, Rosella P Hermens

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Lessons learned from nationwide perinatal audit of severe postpartum haemorrhage in the Netherlands.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
  5. Article
  6. Scoping Review of Postpartum Discharge Education Provided by Nurses.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022
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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

6 authors at 3 institutions in 1 country.

Mallory D WoiskiDepartment of Obstetrics and Gynaecology, Radboud University Medical Centre, Nijmegen, P. O. Box 9101, 6500 HB, Nijmegen, The Netherlands. mallory.woiski@radboudumc.nl.
Evelien BelfroidScientific Institute for Quality of Hospital and Integrated Care (IQ healthcare), Radboud University Medical Centre, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Evelien.Belfroid@radboudumc.nl.
Janine LiefersScientific Institute for Quality of Hospital and Integrated Care (IQ healthcare), Radboud University Medical Centre, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Janine.Liefers@radboudumc.nl.
Richard P GrolScientific Institute for Quality of Hospital and Integrated Care (IQ healthcare), Radboud University Medical Centre, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Richard.Grol@radboudumc.nl.
Hubertina C ScheepersDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. hcj.scheepers@mumc.nl.
Rosella P HermensScientific Institute for Quality of Hospital and Integrated Care (IQ healthcare), Radboud University Medical Centre, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Rosella.Hermens@radboudumc.nl.
Radboud University Medical Center · NLRadboud University Nijmegen · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum haemorrhage (PPH) remains a major contributor to maternal morbidity even in high resource settings, despite the development and dissemination of evidence-based guidelines and Advance-Trauma-Life-Support (ATLS) based courses for optimal management of PPH. We aimed to assess current influencing factors (obstacles and facilitators) for the delivery of high quality PPH-care from both patient and professional perspective.

methodsWe qualitatively explored influencing factors for delivering high quality PPH-care, by having individual interviews with PPH-patients and focus group interviews with the different types of professionals working in the delivery room. For both perspectives, the theoretical frameworks of Grol and Cabana were used to classify the influencing factors for optimal PPH-care (factors of the guidelines, of professionals, of patients, of the social setting and of the organisation). In order to assess the importance of the influencing factors found among the professionals, we quantified these factors in a web-based questionnaire.

resultsA total of 12 patients and 41 professionals participated in the interviews, and 315 complete surveys were analyzed. The main obstacle for high quality PPH-care identified by patients was the lack of information given by the professionals to the patient and partner before, during and after the PPH event. An informative patient website, a patient leaflet and a follow-up consultation were mentioned as facilitators. The main obstacles according to the professionals were: lack of clarity of the guidelines, lack of knowledge and failing team-communication. Team training and checklists/ flowcharts were considered facilitators.

conclusionsDifferent obstacles to the delivery of high quality PPH-care were identified by both patients and professionals. These data can be used to develop a focused strategy to improve PPH-care.

trial registrationNCT 00928863.

Indexed as

Attitude of Health PersonnelCommunicationOutcome and Process Assessment, Health CareQuality Indicators, Health CareAdultChecklistClinical CompetenceFemaleGuideline AdherenceHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMaternal-Child NursingMidwiferyNetherlands

Identifiers

PMID26497307
PMCPMC4619207
OpenAlexW2180572933

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.