Postpartum Haemorrhage Links and Resources

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Resources for Women

National Childbirth Trust (NCT) Reviews of Evidence on Third Stage of Labour (pdfs)

Part 1: Physiological Third Stage

Part 2: Active Management of Third Stage

Association for Improvements in the Maternity Services (AIMS) Publications:

• Delivering Your Placenta
• Birth after Caesarean

Both available from the AIMS website

The Home Birth Reference Site

• PPH
• Third Stage
• Anaemia

Vaginal birth after Caesarean (VBAC)

• Placental Problems

The Association of Radical Midwives

• PPH
• Emergency treatment for PPH at home
• Anaemia and Haemorrhage

Yahoo Support Group

• http://health.groups.yahoo.com/group/pph-survivors

Studies

Winter, MacFarlane et al Variations in policies for management of the third stage of labour and the immediate management of postpartum haemorrhage in Europe BJOG 2007: 114 (7) pp845-854 (free pdf)

Cochrane Review Active versus expectant management in the third stage of labour

The Scottish Confidential Audit of Severe Maternal Morbidity 4th Annual Report (pdf)

The UK Obstetric Surveillance System Peripartum Hysterectomy in the UK (abstract)

Knight M on behalf of UKOSS. Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage. BJOG 2007;114:1380–1387.

Delayed Cord Clamping

Cochrane Review Early versus delayed umbilical cord clamping in preterm
infants (Review) (2004)

Hutton and Hassan Late vs early clamping of the umbilical cord in full-term neonates JAMA 2007: 297 pp1241-1252 (click here for summary)

Weeks Umbilical cord clamping after birth BMJ  2007:335 pp312-313 

Consensus, Protocols and Guidelines

Euphrates Group European Consensus on Prevention and Management of Postpartum Haemorrhage

World Health Organisation Guidelines on active management of third stage of labour

The International Confederation of Midwives (ICM) and the International Federation of Gynaecologists and Obstetricians (FIGO) joint statement on the prevention and treatment of post-partum haemorrhage

• In English
• In Spanish
• In French

Scottish Obstetric Guidelines and Audit Project - The Management of Postpartum Haemorrhage

Postpartum Hemorrhage - Guidelines for Immediate Action [a leaflet produced for global use based on a ‘Textbook of Postpartum Hemorrhage’ - see below]

Reference Materials

‘A Textbook of Postpartum Hemorrhage’ Edited by: Christopher B-Lynch FRCS, FRCOG, D.Univ, Louis Keith MD, PhD Andre Lalonde MD, FRCSC, FRCOG and Mahantesh Karoshi MBBS, MD

NB. This book is available as a free download. Click on the link above and then on ‘More Info’ for the free download, chapter by chapter or the entire book.