Early detection and a treatment bundle strategy for postpartum haemorrhage: a mixed-methods process evaluation.

ABSTRACT:

Background

Postpartum haemorrhage is a leading cause of maternal mortality. A multicountry, cluster-randomised trial (E-MOTIVE) demonstrated a 60% reduction in adverse postpartum haemorrhage outcomes. The E-MOTIVE intervention included early postpartum haemorrhage detection using calibrated blood-collection drapes, followed by a postpartum haemorrhage treatment bundle (ie, uterine massage, oxytocics, tranexamic acid, intravenous fluids, examination and escalation [MOTIVE]), supported by implementation strategies. We report a mixed-methods process evaluation assessing the implementation of the E-MOTIVE intervention in Kenya, Nigeria, South Africa, and Tanzania.

Methods

In this mixed-methods process evaluation, data sources were observations of health workers providing clinica

SUBMITTER: Bohren MA 

PROVIDER: S-EPMC11782988 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature