Premium
Policies for manual removal of placenta at vaginal delivery: variations in timing within Europe
Author(s) -
DeneuxTharaux C,
Macfarlane A,
Winter C,
Zhang WH,
Alexander S,
BouvierColle MH
Publication year - 2009
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/j.1471-0528.2008.01996.x
Subject(s) - vaginal delivery , placenta , obstetrics , medicine , postpartum haemorrhage , intervention (counseling) , maternal morbidity , third stage , gynecology , pregnancy , nursing , fetus , biology , geography , genetics , training (meteorology) , meteorology
The length of the third stage of labour is a potential modifiable risk factor for postpartum haemorrhage at vaginal delivery, but there is no definitive evidence that early intervention to remove the placenta manually will prevent postpartum haemorrhage. We report a wide variation between countries in Europe in policies about the timing of manual removal of placenta. Two groups of countries with clearly divergent policies were identified. A randomised controlled trial is needed to provide definitive evidence on the risks and benefits of manual removal of placenta at different timings after vaginal delivery.