Journal article
Improving maternal health and safety through adherence to postpartum hemorrhage protocol in Latin America
International journal of gynecology and obstetrics, Vol.125(2), pp.162-165
05/2014
DOI: 10.1016/j.ijgo.2013.10.017
PMID: 24548891
Abstract
Objective: To determine provider compliance with protocols for the prevention of postpartum hemorrhage and provider characteristics associated with adherence and non-adherence. Methods: A multicenter descriptive study was conducted involving 78 direct observations of provider-implemented protocols and 52 interviews with Peruvian maternal healthcare providers at 4 Peruvian clinical sites representing the local, regional, and national levels of care. Parturient participants planning a normal vaginal delivery were 17-49 years of age and 34-42 weeks pregnant. Primary outcomes were compared using chi 2 testing, while quantitative survey data were evaluated using means, standard deviations, and Student t test or analysis of variance for statistical significance. Results: There were 3 significant differences between the national, regional, and local levels of care: adherence to all 3 interventions (P< 0.001); professional experience (P < 0.04); and retention of healthcare providers (P < 0.001). There were no differences in provider training (P < 0.097), and the retention of experienced healthcare providers was not associated with greater adherence to protocols. There were no significant differences in parturient characteristics. Conclusion: Individual characteristics and institutional beliefs may have more influence than experience or training on adherence to protocols for prevention of postpartum hemorrhage; addressing these biases may improve patient safety in Peru and throughout Latin America. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Details
- Title: Subtitle
- Improving maternal health and safety through adherence to postpartum hemorrhage protocol in Latin America
- Creators
- Benjamin Olmedo - Yale UniversityEva Miranda - United States Agency for International DevelopmentOscar Cordon - United States Agency for International DevelopmentChristian M. Pettker - Yale UniversityEdmund F. Funai - The Ohio State University
- Resource Type
- Journal article
- Publication Details
- International journal of gynecology and obstetrics, Vol.125(2), pp.162-165
- DOI
- 10.1016/j.ijgo.2013.10.017
- PMID
- 24548891
- NLM abbreviation
- Int J Gynaecol Obstet
- ISSN
- 0020-7292
- eISSN
- 1879-3479
- Publisher
- Wiley
- Number of pages
- 4
- Grant note
- Yale Wilbur Downs International Travel Fellowship Yale School of Medicine Office of Student Research
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9985244557802771
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