ReviewAmerican journal of obstetrics & gynecology MFM2023
Postpartum hemorrhage protocols and benchmarks: improving care through standardization.
Review in American journal of obstetrics & gynecology MFM, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07188207 (The Efficacy of Adding Preoperative Rectal Misoprostol for Decreasing Intraoperative and Postoperative Blood Loss at Elective Cesarean Section), which is not on this map. Cited by 19 papers.
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.
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.
The Efficacy of Adding Preoperative Rectal Misoprostol for Decreasing Intraoperative and Postoperative Blood Loss at Elective Cesarean Section
Who cites it
19 citing papers in PubMed.
- Duration of Intrauterine Balloon Tamponade in Post-Partum Haemorrhage Management After Vaginal Delivery: A Secondary Cohort Analysis From the French TUB Trial.BJOG : an international journal of obstetrics and gynaecology · 2026Trial
- Association between shock index and postpartum hemoglobin level and blood transfusion requirement in women delivering at public hospitals in Shiraz, 2023-2024.BMC pregnancy and childbirth · 2026Article
- Health system stress: Assessing the impact of the COVID-19 pandemic on obstetric haemorrhage-related mortality in South Africa using confidential enquiry into maternal deaths data.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Factor XIII Supplementation in Postpartum Hemorrhage: From Biological Rationale to Clinical Implementation.American journal of hematology · 2026Review
- A Systematic Review and Meta-Analysis on the Effectiveness and Safety of Tranexamic Acid for Postpartum Haemorrhage in Patients with Haemorrhagic Disorders.Diseases (Basel, Switzerland) · 2026Review
- Trends in maternal mortality in China and Hainan Province: an analysis based on GBD 2023 and Hainan surveillance data.Frontiers in global women's health · 2026Article
- The impact of the WOMAN trial on local clinical practice in Thailand.Journal of anesthesia · 2025Article
- Pelvic packing as a life-saving intervention in the referral of patients with obstetric hemorrhage: comparing outcomes in referred and non-referred patients.BMC pregnancy and childbirth · 2025Observational
- Development and Validation of An Interpretable Machine Learning-Based Prediction Model of Postpartum Hemorrhage in Placenta Previa Following Cesarean Section: A Multicenter Study.Reproductive sciences (Thousand Oaks, Calif.) · 2025Article
- Article
- Integrating SHAP analysis with machine learning to predict postpartum hemorrhage in vaginal births.BMC pregnancy and childbirth · 2025Article
- Implementation of an oxytocin bolus protocol for cesarean delivery at a Texas level IV maternal center: a single-center retrospective study.Proceedings (Baylor University. Medical Center) · 2025Article
- The Impact of Interaction Standard Theory-Based Multi-Care on Postpartum Recovery, Coping Styles, Psychological Distress, and Quality of Life in Women with Postpartum Hemorrhage.International journal of women's health · 2025Article
- Interventional Radiology for Primary Postpartum Hemorrhage: Optimal Strategy Based on the Pathogenesis of Bleeding.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- Appendicitis Hospitalization Care Costs Among Patients With Delayed Diagnosis of Appendicitis.JAMA network open · 2024Article
- Maternal and Neonatal Outcomes of Adolescent Pregnancy in Vietnam.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2024Article
- Article
- Multidisciplinary team training in postpartum hemorrhage: impact on the use of blood products.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024Article
- Intrauterine vacuum-induced hemorrhage-control device for hemorrhage after myomectomy: a case report and review of the literature.Gynecology and pelvic medicine · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Postpartum hemorrhage remains a leading cause of maternal morbidity and mortality in the United States. Several state maternal morbidity and mortality committees have reviewed areas of opportunity concerning postpartum hemorrhage management and found that common patterns include delays in recognition and response to hemorrhage. Hospital systems and state perinatal quality collaboratives have found that comprehensive, interdisciplinary response to postpartum hemorrhage care improves patient outcomes and, in some instances, reduces racial disparities. A key component of this focus involves the implementation of stage-based hemorrhage protocols for postpartum hemorrhage management. Stage-based hemorrhage protocols are designed to reduce delays in the diagnosis and management and avoid the pitfalls of cognitive biases. These protocols are complex, and their effectiveness is tied to the quality of their implementation. Systematic benchmarking and development of quality metrics for adherence to postpartum hemorrhage bundles would be expected to improve clinical outcomes, but evidence regarding the effectiveness of this practice in the literature is limited. Here, key features of stage-based interventions and evidence regarding the use of quality metrics for postpartum hemorrhage protocol adherence have been outlined.
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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.