2017
DOI: 10.1186/s12884-017-1478-2
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Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: a quasi-experimental, pre- vs. post-intervention study

Abstract: BackgroundTanzania has a relatively high maternal mortality ratio of 410 per 100,000 live births. Severe postpartum hemorrhage (PPH) is a major cause of maternal deaths, but in most cases, it is preventable. However, most pregnant women that develop PPH, have no known risk factors. Therefore, preventive measures must be offered to all pregnant women.This study investigated the effects of multi-professional, scenario-based training on the prevention and management of PPH at a Tanzanian zonal consultant hospital… Show more

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Cited by 48 publications
(35 citation statements)
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References 42 publications
(59 reference statements)
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“…This way can be used as an alternative choice to facilitate health workers, especially midwives in knowing the exact amount of blood loss, quickly and accurately, without having to guess the amount of blood visually (Carvalho, Gilda, Daniel, Mariana, & Metin, 2018;Hancock et al, 2015;Sloan, Durocher, Aldrich, Blum, & Winikoff, 2010). Thus, the midwives can carry on the postpartum emergency immediately and preventthe mothersto experience what is commonly called 3T; being late in making decision, being late in processing the referral, and being late to get the treatment (Egenberg et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This way can be used as an alternative choice to facilitate health workers, especially midwives in knowing the exact amount of blood loss, quickly and accurately, without having to guess the amount of blood visually (Carvalho, Gilda, Daniel, Mariana, & Metin, 2018;Hancock et al, 2015;Sloan, Durocher, Aldrich, Blum, & Winikoff, 2010). Thus, the midwives can carry on the postpartum emergency immediately and preventthe mothersto experience what is commonly called 3T; being late in making decision, being late in processing the referral, and being late to get the treatment (Egenberg et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…The percentages were related with the use of partograph sheets atthe second stage of labor, active management at the third stage which is very important in preventing bleeding around 60-70%, including administration of oxytocin, controlled cord stretching and uterine fundal massage. Furthermore, monitoring the IV stage until 2 hours of postpartum include: pulse, blood pressure, bladder, temperature, and bleeding period is the most urgent thing to prevent maternal and infant mortality (Adnan, 2017;Rani & Begum, 2017;Sentilhes et al, 2015;Egenberg, 2017;Guasch & Gilsanz, 2016;Herrick, Mvundura, Burke, & Abu-Haydar,2017;Nyflot et al, 2017;Francoise et al,2016;Mobeen et al, 2010;Mezmur, 2017;Mandiwa, 2017;Zalalem, 2017).…”
Section: Introductionmentioning
confidence: 99%
“…Nå foreligger det imidlertid resultater fra mange studier som dokumenterer at teamtrening fører til bedre resultat for pasientene. På generelt nivå er dette oppsummert i flere oversiktsartikler (7-9) og i flere studier som har vist en klar effekt på pasientoverlevelse (10)(11)(12)(13)(14)(15)(16)(17)(18).…”
Section: Kostnaderunclassified
“…Postpartum Haemorrhage (PPH) is defined as the loss of blood that is 500 ml or greater than 500ml following a vaginal delivery or blood loss that is more than or equivalent to 1000 ml post-caesarean section [1]. PPH is the principal cause of maternal death worldwide [2].…”
Section: Introductionmentioning
confidence: 99%
“…1.3), older maternal age (20-34years with rank 1.7), and multi-parity (rank 3) are associated with increased risk of PPH in Africa. All other associated risk factors of PPH have mild to moderate association with PPH occurrence in Africa.…”
mentioning
confidence: 99%