Staff and Institutional Factors Associated with Substandard Care in the Management of Postpartum Hemorrhage.

ABSTRACT:

Objective

to identify staff and institutional factors associated with substandard care by midwives managing postpartum hemorrhage (PPH).

Methods

A multicenter vignette-based study was e-mailed to a random sample of midwives at 145 French maternity units that belonged to 15 randomly selected perinatal networks. Midwives were asked to describe how they would manage two case-vignettes about PPH and to complete a short questionnaire about their individual (e.g., age, experience, and full- vs. part-time practice) and institutional (private or public status and level of care) characteristics. These previously validated case-vignettes described two different scenarios: vignette 1, a typical immediate, severe PPH, and vignette 2, a severe but gradual hemorrhage. Experts consensually

SUBMITTER: Rousseau A 

PROVIDER: S-EPMC4806984 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature