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Training health workers to prevent and manage post-partum haemorrhage (PPH)

Cooper, N; O'Brien, S; Siassakos, D; (2019) Training health workers to prevent and manage post-partum haemorrhage (PPH). Best Practice and Research: Clinical Obstetrics and Gynaecology , 61 pp. 121-129. 10.1016/j.bpobgyn.2019.05.008. Green open access

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Abstract

Post-partum haemorrhage (PPH) is the second greatest direct cause of maternal death in the United Kingdom, and rates of PPH continue to increase despite advances in clinical care. Training workers to manage PPH involves improvement of technical and non-technical skills in the context of a multidisciplinary team (MDT). Management of PPH should begin in the antenatal period, with identification of high-risk women and referral for multispecialty input. Training for the acute management of PPH should involve all members of the labour ward team and beyond, including haematology and non-clinical staff. Simulation-based training, didactic teaching and hybrid obstetric emergency courses are current options for training workers. Non-technical skills should also be taught, including specific training on communication, leadership, situational awareness and team-working skills. Improving management of obstetric emergencies requires thorough antenatal and intra-partum risk assessment, optimising knowledge and non-technical skills of individual members of the team, improving collaboration of the MDT, better simulation training and adjusting local infrastructure.

Type: Article
Title: Training health workers to prevent and manage post-partum haemorrhage (PPH)
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.bpobgyn.2019.05.008
Publisher version: https://doi.org/10.1016/j.bpobgyn.2019.05.008
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Postpartum haemorrhage, obstetric anaesthesia, obstetric emergencies, multi-professional training, simulation training, CRM training
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Maternal and Fetal Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10077722
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