Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Multifaceted intervention to decrease the rate of severe postpartum haemorrhage: the PITHAGORE6 cluster-randomised

C Deneux-Tharaux1, C Dupont, C Colin

  • 1INSERM, UMR S953, UPMC, Epidemiological Research Unit on Perinatal Health and Women's and Children's Health, Paris, France. catherine.deneux-tharaux@inserm.fr

BJOG : an International Journal of Obstetrics and Gynaecology
|June 25, 2010
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Differences in hospital prenatal care between immigrant and native women in France: a qualitative study within the BiP research on racial implicit bias in perinatal care.

BMC pregnancy and childbirth·2026
Same author

Severe postpartum hemorrhage and the risk of adverse maternal outcome: A comparative analysis of two population-based studies in France and the Netherlands.

Preventive medicine reports·2024
Same author

vNOTEsHC : Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopic for large uteri: study protocol for a multicentre randomised controlled trial.

Facts, views & vision in ObGyn·2023
Same author

[Simulation training for French obstetrics and gynecology residents: A national survey in 2022].

Gynecologie, obstetrique, fertilite & senologie·2023
Same author

Binational confidential enquiry of maternal deaths due to postpartum hemorrhage in France and the Netherlands: Lessons learned through the perspective of a different context of care.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2023
Same author

Recurrence of hypertensive disorders of pregnancy: results from a nationwide prospective cohort study (CONCEPTION).

BJOG : an international journal of obstetrics and gynaecology·2023
Same journal

Impact of a Structured Caesarean Reduction Strategy on Perinatal Outcomes: A Retrospective Ecological Time-Trend Study.

BJOG : an international journal of obstetrics and gynaecology·2026
Same journal

Long-Term Outcomes After Retropubic and Transobturator Sling Procedures: Reoperation for Recurrent Stress Urinary Incontinence.

BJOG : an international journal of obstetrics and gynaecology·2026
Same journal

First Trimester Screening for Preterm Preeclampsia in the United Kingdom: A Cost-Effectiveness Analysis.

BJOG : an international journal of obstetrics and gynaecology·2026
Same journal

Correction to "The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-Top Guideline No. 69)".

BJOG : an international journal of obstetrics and gynaecology·2026
Same journal

Large Language Models on European Guidelines for Cervical Cancer: Implications of Design and Clinical Applicability.

BJOG : an international journal of obstetrics and gynaecology·2026
Same journal

Internal Consistency of the Hadlock Estimated Fetal Weight Reference: Methodological Analysis.

BJOG : an international journal of obstetrics and gynaecology·2026
See all related articles
This summary is machine-generated.

A multifaceted intervention did not significantly reduce severe postpartum haemorrhages (PPH). However, the educational strategy improved specific PPH management practices in maternity units.

Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Quality Improvement
  • Clinical Practice Guidelines

Background:

  • Severe postpartum haemorrhage (PPH) remains a significant obstetrical challenge.
  • Substandard initial care is often implicated in severe PPH cases.
  • Assessing strategies to improve early PPH management is crucial.

Purpose of the Study:

  • To test if a multifaceted intervention improves adherence to an early PPH management protocol.
  • To determine if this intervention reduces the incidence of severe PPH.

Main Methods:

  • A cluster-randomised trial involving 106 maternity units across six French regions.
  • Units were randomized to receive an active intervention or passive protocol dissemination.
  • The intervention included outreach visits, reminders, and peer reviews by obstetrician-midwife teams.

Related Experiment Videos

Main Results:

  • The incidence of severe PPH was similar between intervention (1.64%) and control (1.65%) units.
  • Some PPH management practices, like seeking senior staff assistance, were significantly improved.
  • Trends towards improved second-line pharmacological treatment and timely blood tests were observed.

Conclusions:

  • The educational intervention did not significantly decrease the rate of severe PPH.
  • The intervention successfully enhanced adherence to certain PPH management practices.
  • Further research may be needed to optimize interventions for reducing severe PPH.