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16/12/2016
The RCOG's revised clinical guideline provides advice for healthcare professionals on preventing and treating postpartum haemorrhage (PPH) to further reduce the number of women who die from the condition.
The guideline emphasised the need for every maternity unit in the UK to have a protocol in place to treat a woman with PPH. Training for all maternity staff, including rehearsals to manage the situation is critical.
The guideline also highlighted that communication is crucial and any woman at risk of PPH should be advised to give birth in a hospital with a blood bank on site. Wherever possible, the woman and her partner should be kept informed and reassured at all times.
A new study also published today in BJOG: An International Journal of Obstetrics and Gynaecology suggested that assisted reproductive technology could be associated with an increased risk of severe PPH, in particular among multiple pregnancies.
The 2012-2014 Confidential Enquiries into Maternal Deaths and Morbidity report, published last week, identifies 13 deaths from haemorrhage. That makes it the third leading cause of direct maternal death in the UK.
RCM Director for midwifery Louise Silverton said: "This research highlights why it is so important that midwives and other maternity staff receive the appropriate training to recognise and treat PPH, and that this training is refreshed regularly.
"While the numbers of women dying from this are small in the UK, the fact that there has been no real reduction in death rates due to PPH is a concern.
"This will help midwives to spot developing problems because they will know the woman well and enable them to intervene early if problems do develop. Ideally, training should also include the whole maternity team so that if an emergency does occur, there are good systems in place and good communication between midwives, doctors and other health professionals.
"Midwives also need the time to advise women about normal blood loss after birth - among other signs and symptoms that they need to be aware of. This also includes what to do if they think the loss is more than expected, who to call and when.
"Women who may be at risk of PPH should be made fully aware of any potential risk so that they can make an informed choice about where they want to give birth."
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More Can Be Done to Prevent Excessive Bleeding After Childbirth - RCOG
More can be done to prevent excessive bleeding after childbirth, including training for maternity staff and the development of local protocols, the RCOG has said.The RCOG's revised clinical guideline provides advice for healthcare professionals on preventing and treating postpartum haemorrhage (PPH) to further reduce the number of women who die from the condition.
The guideline emphasised the need for every maternity unit in the UK to have a protocol in place to treat a woman with PPH. Training for all maternity staff, including rehearsals to manage the situation is critical.
The guideline also highlighted that communication is crucial and any woman at risk of PPH should be advised to give birth in a hospital with a blood bank on site. Wherever possible, the woman and her partner should be kept informed and reassured at all times.
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A new study also published today in BJOG: An International Journal of Obstetrics and Gynaecology suggested that assisted reproductive technology could be associated with an increased risk of severe PPH, in particular among multiple pregnancies.
The 2012-2014 Confidential Enquiries into Maternal Deaths and Morbidity report, published last week, identifies 13 deaths from haemorrhage. That makes it the third leading cause of direct maternal death in the UK.
RCM Director for midwifery Louise Silverton said: "This research highlights why it is so important that midwives and other maternity staff receive the appropriate training to recognise and treat PPH, and that this training is refreshed regularly.
"While the numbers of women dying from this are small in the UK, the fact that there has been no real reduction in death rates due to PPH is a concern.
"This will help midwives to spot developing problems because they will know the woman well and enable them to intervene early if problems do develop. Ideally, training should also include the whole maternity team so that if an emergency does occur, there are good systems in place and good communication between midwives, doctors and other health professionals.
"Midwives also need the time to advise women about normal blood loss after birth - among other signs and symptoms that they need to be aware of. This also includes what to do if they think the loss is more than expected, who to call and when.
"Women who may be at risk of PPH should be made fully aware of any potential risk so that they can make an informed choice about where they want to give birth."
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