Policies for manual removal of placenta at vaginal delivery: variations in timing within Europe
Authors & affiliation
C Deneux-Tharaux, A Macfarlane, C Winter, Wei Hong Zhang, S Alexander, M-H Bouvier-Colle
Abstract
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.
Publication date:
2009
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