A review of the current management of postpartum haemorrhage in the Republic of Ireland, using a case study approach
dc.contributor.author | Fitzgerald, Imelda | |
dc.contributor.author | O'Connell, Rhona | |
dc.contributor.author | Hughes, Paul | |
dc.contributor.author | Lyons, Priscilla | |
dc.contributor.author | McKernan, Joye | |
dc.contributor.author | Greene, Richard | |
dc.contributor.author | Corcoran, Paul | |
dc.date.accessioned | 2023-03-10T10:09:56Z | |
dc.date.available | 2023-03-10T10:09:56Z | |
dc.date.issued | 2022-12 | |
dc.description.abstract | Objective: To get a better understanding of the steps taken during a postpartum haemorrhage (PPH) in the Republic of Ireland. Design: Population-based retrospective cohort study. Hospital births in Ireland during 2020. Methods: A PPH proforma data collection tool was used to understand what occurred during each PPH, the management provided to the woman and the medication received. Main outcomes: Escalation of care to multidisciplinary team (MDT), mode of birth, quantifying blood loss. Results: The 53 PPH proformas collected from two maternity units were comprised of: 43 per cent (23) mild PPH (500–1000ml); 34 per cent (18) moderate PPH (1000–1500ml); and 22 per cent (12) severe PPH (over 1500ml). The blood volume ranged from 500ml to 4.1litres. The most immediate response on recognition of a PPH, by midwives or obstetric doctors who diagnosed the blood loss following childbirth as excessive, was to administer a Syntocinon infusion as the first line of treatment. Conclusions: Potential improvements for care during a PPH include: the first treatment of ‘hand on fundus, call for help’; midwives managing the PPH with use of other treatments and medications while escalating care; timely escalation of emergency phone; an MDT approach to manage the PPH; and quantification of blood loss. | en |
dc.description.status | Peer reviewed | en |
dc.description.version | Published Version | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.citation | Fitzgerald, I., O’Connell, R., Hughes, P., Lyons P., McKernan, J., Greene, R. and Corcoran, P. (2022) ‘A review of the current management of postpartum haemorrhage in the Republic of Ireland, using a case study approach’, MIDIRS Midwifery Digest, 32 (4). pp. 505-511 | en |
dc.identifier.endpage | 511 | en |
dc.identifier.issn | 0961-5555 | |
dc.identifier.issued | 4 | en |
dc.identifier.journaltitle | MIDIRS Midwifery Digest | en |
dc.identifier.startpage | 505 | en |
dc.identifier.uri | https://hdl.handle.net/10468/14297 | |
dc.identifier.volume | 32 | en |
dc.language.iso | en | en |
dc.publisher | MIDIRS | en |
dc.relation.uri | https://www.midirs.org/informing/midirs-digest-table-of-contents/ | en |
dc.rights | © MIDIRS 2022. | en |
dc.subject | Ireland | en |
dc.subject | Postpartum haemorrhage | en |
dc.subject | Childbirth | en |
dc.title | A review of the current management of postpartum haemorrhage in the Republic of Ireland, using a case study approach | en |
dc.type | Article (peer-reviewed) | en |