Premium
Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study
Author(s) -
Meher S,
Cuthbert A,
Kirkham JJ,
Williamson P,
Abalos E,
Aflaifel N,
Bhutta ZA,
Bishop A,
Blum J,
Collins P,
Devane D,
DucloyBouthors AS,
Fawole B,
Gülmezoglu AM,
Gutteridge K,
Gyte G,
Homer CSE,
Mallaiah S,
Smith JM,
Weeks AD,
Alfirevic Z
Publication year - 2019
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/1471-0528.15335
Subject(s) - medicine , delphi method , psychological intervention , population , blood transfusion , breastfeeding , likert scale , family medicine , nursing , pediatrics , psychology , surgery , developmental psychology , statistics , mathematics , environmental health
Objective To develop core outcome sets ( COS ) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage ( PPH ), and recommendations on how to report the COS . Design A two‐round Delphi survey and face‐to‐face meeting. Population Healthcare professionals and women's representatives. Methods Outcomes were identified from systematic reviews of PPH studies and stakeholder consultation. Participants scored each outcome in the Delphi on a Likert scale between 1 (not important) and 9 (critically important). Results were discussed at the face‐to‐face meeting to agree the final COS . Consensus at the meeting was defined as ≥ 70% of participants scoring the outcome as critically important (7–9). Lectures, discussion and voting were used to agree how to report COS outcomes. Main outcome measures Outcomes from systematic reviews and consultations. Results Both Delphi rounds were completed by 152/205 (74%) participants for prevention and 143/197 (73%) for treatment. For prevention of PPH , nine core outcomes were selected: blood loss, shock, maternal death, use of additional uterotonics, blood transfusion, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. For treatment of PPH , 12 core outcomes were selected: blood loss, shock, coagulopathy, hysterectomy, organ dysfunction, maternal death, blood transfusion, use of additional haemostatic intervention, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. Recommendations were developed on how to report these outcomes where possible. Conclusions These COS will help standardise outcome reporting in PPH trials. Tweetable abstract Core outcome sets for PPH : nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.