Quality of care for postpartum hemorrhage: A direct observation study in referral hospitals in Kenya.

ABSTRACT: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in Kenya. The aim of this study was to measure quality and timeliness of care for PPH in a sample of deliveries in referral hospitals in Kenya. We conducted direct observations of 907 vaginal deliveries in three Kenyan hospitals from October 2018 through February 2019, observing the care women received from admission for labor and delivery through hospital discharge. We identified cases of "suspected PPH", defined as cases in which providers indicated suspicion of and/or took an action to manage abnormal bleeding. We measured adherence to World Health Organization and Kenyan guidelines for PPH risk assessment, prevention, identification, and management and the timeliness of care in each domain. The rate of suspected PPH

SUBMITTER: Clarke-Deelder E 

PROVIDER: S-EPMC10022124 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature