J Gynecol Obst Bio R
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J Gynecol Obst Bio R · May 2009
Multicenter Study[Impact of a new regional management for postpartum hemorrhages by an audit of severe cases: a before and after study (2002-2005)].
Postpartum haemorrhage (PPH) is still the first cause of maternal mortality in France. Most of these cases include inappropriate management. In 2004, regional guidelines were diffused to all the birthplaces in Basse-Normandie. To assess the impact of this regional management, an epidemiological study "before-after" (2002-2005) has been performed. Part of this study was the evaluation of the management of severe PPH. ⋯ The originality from this study is that the modifications of the practices were conducted at a regional level in order to enhance the management of PPH. The assessment which was performed showed that quality of care was improved all over the area but that there is still place to progress.