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- Title
Policies for manual removal of placenta at vaginal delivery: variations in timing within Europe.
- Authors
Deneux-Tharaux, C.; Macfarlane, A.; Winter, C.; Zhang, W-H.; Alexander, S.; Bouvier-Colle, M-H.
- Abstract
The length of the third stage of labour is a potential modifiable risk factor for postpartum haemorrhage at vaginal delivery, but there is no definitive evidence that early intervention to remove the placenta manually will prevent postpartum haemorrhage. We report a wide variation between countries in Europe in policies about the timing of manual removal of placenta. Two groups of countries with clearly divergent policies were identified. A randomised controlled trial is needed to provide definitive evidence on the risks and benefits of manual removal of placenta at different timings after vaginal delivery.
- Subjects
EUROPE; LABOR complications (Obstetrics); DELIVERY (Obstetrics); PUERPERAL disorders; PLACENTA
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2009, Vol 116, Issue 1, p119
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/j.1471-0528.2008.01996.x