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Hi,
I think you will find what you are looking for
in the Hinchingbrooke trial. The results make very interesting
reading. If you type it into a goggle search engine you will find lots of
critiques on it.
I attending the initial presentation of this
trial. Although they did find actively managed labours had a lower pph
outcome it was only with a pph thought to be over 500ml. When they changed
the pph value to over 1000ml they actually found no difference in the
rate. They questioned whether with women's health having improved along
with diet and education maybe a re evaluation of pph on women's symptoms of
large amounts of blood loss rather than our current system of estimating the
loss of blood is more appropriate. (By that they didn't mean huge losses but
maybe the 300 to 700ml estimation which varies a lot between practitioners. Also
some women are not symptomatic after a 700ml loss so have they had a
pph?)
I'm not sure I've said this very well so maybe
reading the trial for yourself will make it clearer.
Lisa
From: Emily
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