Early Detection and Treatment for Postpartum Haemorrhage
Overview
Postpartum haemorrhage is a major cause of maternal death. A study called E-MOTIVE showed that a specific intervention could reduce serious outcomes by 60%. This intervention involves:
- Using special blood-collection drapes to detect bleeding early.
- A treatment bundle that includes uterine massage, medications, and fluids.
- Support strategies to help implement these measures.
Study Details
This evaluation looked at how well the E-MOTIVE intervention worked in Kenya, Nigeria, South Africa, and Tanzania. The study included:
- Observations of 2,578 births.
- Surveys and interviews with health workers.
Key Findings
- Health workers used the calibrated drapes effectively (100% in observations).
- Health workers found the calibrated drapes acceptable but noted some issues with patients’ acceptance.
- The treatment bundle was delivered effectively in 96.9% of cases.
- Most treatments were started quickly, with two-thirds initiated within 15 minutes.
Conclusion
The evaluation indicated high fidelity and acceptability of the E-MOTIVE intervention across different countries. It is recommended that this intervention be included in national health policies, addressing any workforce and supply challenges to ensure successful implementation.
Funding
This study was funded by the Bill and Melinda Gates Foundation and other international health organizations.
Clinical Trial Importance
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