Posted on 05/10/2023 12:51:30 PM PDT by ConservativeMind
A new solution, known as E-MOTIVE, could provide a major breakthrough in reducing deaths from childbirth-related bleeding, according to a landmark study.
Postpartum hemorrhage (PPH)—defined as the loss of more than 500 mL of blood within 24 hours after birth—is the leading cause of maternal mortality worldwide.
The study, which involved more than 200,000 women in four countries, found that objectively measuring blood loss using a simple, low-cost collection device called a "drape" and bundling together WHO-recommended treatments—rather than offering them sequentially—resulted in dramatic improvements in outcomes for women. Severe bleeding—when a woman loses more than a liter of blood after birth—was reduced by 60%, and they were less likely to die.
There was also a substantial reduction in the rate of blood transfusions for bleeding.
"This could radically improve women's chances of surviving childbirth," said Professor Arri Coomarasamy.
Currently, a major challenge in responding to PPH is that it is often detected too late to respond effectively. Most providers use visual inspection to assess bleeding, which tends to underestimate blood loss and can lead to life-threatening delays in treatment. When treatment is provided, this is typically done in a sequential manner with gaps between each intervention—costing more time if the first options are not effective.
The recommended E-MOTIVE package includes early and accurate detection of PPH using a blood-collection drape. This is complemented by an immediate treatment bundle where indicated, including uterine massage, medicines to contract the womb and stop the bleeding, intravenous fluid administration, an examination and, when needed, escalation to advanced care. In the trial, the E-MOTIVE intervention was supported with an implementation strategy consisting of specific training, PPH trolleys or carry cases, engagement of local champions, audits and feedback. All components of the E-MOTIVE intervention can be performed by midwives.
(Excerpt) Read more at medicalxpress.com ...
Interesting. I almost died from blood loss with my first child.
They gave her a drug to stop the bleeding and it turned out she was allergic to the drug.
She lived but it was touch and go for a while.
Nice to see they are working on this. Nearly killed my wife not only after giving birth but also after three miscarriages.
Mark for husbandto read later
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