Clinical care processes for early postpartum haemorrhage diagnosis: a nested observational study within the E-MOTIVE trial.

ABSTRACT:

Background

Postpartum haemorrhage (PPH) is the leading cause of maternal mortality, particularly in low- and- middle-income countries. The E-MOTIVE trial demonstrated a 60% reduction in severe PPH and related complications with the E-MOTIVE intervention compared to usual care. This nested observational study explored clinical care practices between the time of vaginal birth and the removal of the obstetric drape. Specifically, we assessed the frequency of postpartum maternal assessments, including blood pressure, pulse, uterine tone, vaginal blood flow, and cumulative blood loss assessment-unique to the intervention. We also evaluated diagnostic methods, and blood loss thresholds used for PPH, and how these practices may have contributed to differences in PPH diagnosis and outcomes

SUBMITTER: Mammoliti KM 

PROVIDER: S-EPMC12682830 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature