Choose your font:
 Mukta Malar
 Open Sans Condensed
 Source Sans Pro


[Valid RSS] RSS

Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3059 records
YouTube channel (tutorial)

Created on : 08 Oct 2004
Modified on : 27 Oct 2018

 Modify this record
Do not follow this link unless you know an editor’s password!

Share: Facebook logo   Tweeter logo   Hard

Bibliographical entry (without author) :

Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education. Short Communication. BJOG. 2004 May;111(5):495-8.

Author(s) :

Rizvi F, Mackey R, Barrett T, McKenna P, Geary M.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

We reviewed all cases of massive primary postpartum haemorrhage greater than 1000 mL over a six month period in 1999 to establish the incidence, identify aetiological factors and implement change. Fifty-four cases (1.7%) were identified. We classified four as ’near-miss’ maternal mortality. Over 60% were delivered by caesarean section. Seventy-six percent were due to uterine atony, 9% due to genital tract trauma and 15% were associated with significant antepartum haemorrhage from placenta praevia or abruption. No obvious labour or delivery risk factors were identified but deviation from hospital guidelines was common. Following revision of the guidelines, dissemination to staff and use of practice drills, we repeated the study on a prospective basis over the same time period in 2002. There was a significant reduction in the incidence of massive postpartum haemorrhage to 0.45%, and 100% adherence to the guidelines which resulted in a significant reduction in maternal morbidity. We believe that this approach can be replicated in other units.

Sumário (português)  :

Full text (public) :

Comments :

Argument (français) :

Un Hopital irlandais : la mise en place d’un protocole strict a fait diminuer les HPP graves.

Argument (English):

An Irish Hospital: the implementation of a strict protocol has reduced serious HPP.

Argumento (português):

Um hospital irlandês: a implementação de um protocolo rigoroso reduziu o HPP grave.

Keywords :

➡ c-section/caesarean ; evidence-based medicine/midwifery ; placenta previa/accreta ; guidelines ; perineal/vaginal tears ; postpartum hemorrhage ; morbidity ; informed consent

Author of this record :

Cécile Loup — 08 Oct 2004
➡ latest update : Bernard Bel — 27 Oct 2018

Discussion (display only in English)
➡ Only identified users

 I have read the guidelines of discussions and I accept all terms (read guidelines)


New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact


This database is managed by Alliance francophone pour l'accouchement respecté (AFAR,
affiliated with Collectif interassociatif autour de la naissance (CIANE,
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting AFAR (see below)
(3) or joining the AFAR (or another society affiliated with CIANE).
Sign in or create an account to follow changes or become an editor.
Contact afar.association(arobase) for more information.

Valid CSS! Valid HTML!
Donating to AFAR (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth