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dc.contributor.author
Akter, Shahinoor
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Forbes, Gillian
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Miller, Suellen
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Galadanci, Hadiza
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Qureshi, Zahida
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Fawcus, Sue
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Justus Hofmeyr, G.
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Moran, Neil
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Singata Madliki, Mandisa
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Amole, Taiwo Gboluwaga
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Gwako, George
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Osoti, Alfred
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Thomas, Eleanor
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Gallos, Ioannis
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Mammoliti, Kristie Marie
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Coomarasamy, Arri
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Althabe, Fernando
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Lorencatto, Fabiana
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Bohren, Meghan A.
dc.date.available
2023-11-08T13:35:15Z
dc.date.issued
2022-11
dc.identifier.citation
Akter, Shahinoor; Forbes, Gillian; Miller, Suellen; Galadanci, Hadiza; Qureshi, Zahida; et al.; Detection and management of postpartum haemorrhage: Qualitative evidence on healthcare providers' knowledge and practices in Kenya, Nigeria, and South Africa; Frontiers Media; Frontiers in Global Women's Health; 3; 1020163; 11-2022; 1-19
dc.identifier.uri
http://hdl.handle.net/11336/217438
dc.description.abstract
Background: Postpartum haemorrhage (PPH) is the leading cause of maternal death globally. Most PPH deaths can be avoided with timely detection and management; however, critical challenges persist. A multi-country cluster-randomised trial (E-MOTIVE) will introduce a clinical care bundle for early detection and first-response PPH management in hospital settings. This formative qualitative study aimed to explore healthcare providers' knowledge and practices of PPH detection and management after vaginal birth, to inform design and implementation of E-MOTIVE. Methods: Between July 2020–June 2021, semi-structured qualitative interviews were conducted with 45 maternity healthcare providers (midwives, nurses, doctors, managers) of nine hospitals in Kenya, Nigeria, and South Africa. A thematic analysis approach was used. Results: Four key themes were identified, which varied across contexts: in-service training on emergency obstetric care; limited knowledge about PPH; current approaches to PPH detection; and current PPH management and associated challenges. PPH was recognised as an emergency but understanding of PPH varied. Early PPH detection was limited by the subjective nature of visual estimation of blood loss. Lack of expertise on PPH detection and using visual estimation can result in delays in initiation of PPH management. Shortages of trained staff and essential resources, and late inter-hospital referrals were common barriers to PPH management. Conclusion: There are critical needs to address context-specific barriers to early and timely detection and management of PPH in hospital settings. These findings will be used to develop evidence-informed implementation strategies, such as improved in-service training, and objective measurement of blood loss, which are key components of the E-MOTIVE trial (Trial registration: ClinicalTrials.gov: NCT04341662).
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application/pdf
dc.language.iso
eng
dc.publisher
Frontiers Media
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
CLINICAL CARE BUNDLES
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FORMATIVE RESEARCH
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MATERNAL HEALTH
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MATERNAL MORTALITY
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POSTPARTUM HAEMORRHAGE
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QUALITATIVE RESEARCH
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Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Detection and management of postpartum haemorrhage: Qualitative evidence on healthcare providers' knowledge and practices in Kenya, Nigeria, and South Africa
dc.type
info:eu-repo/semantics/article
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info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-11-06T16:02:13Z
dc.identifier.eissn
2673-5059
dc.journal.volume
3
dc.journal.number
1020163
dc.journal.pagination
1-19
dc.journal.pais
Suiza
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dc.journal.ciudad
Lausana
dc.description.fil
Fil: Akter, Shahinoor. University of Melbourne; Australia
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Fil: Forbes, Gillian. Colegio Universitario de Londres; Reino Unido
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Fil: Miller, Suellen. University of California; Estados Unidos
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Fil: Galadanci, Hadiza. Bayero University; Nigeria
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Fil: Qureshi, Zahida. University Of Nairobi; Kenia
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Fil: Fawcus, Sue. University of Cape Town; Sudáfrica
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Fil: Justus Hofmeyr, G.. University Of Botswana; Botsuana. University of the Witwatersrand; Sudáfrica
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Fil: Moran, Neil. University of KwaZulu-Natal; Sudáfrica
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Fil: Singata Madliki, Mandisa. University of the Witwatersrand; Sudáfrica
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Fil: Amole, Taiwo Gboluwaga. Bayero University; Nigeria
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Fil: Gwako, George. University Of Nairobi; Kenia
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Fil: Osoti, Alfred. University Of Nairobi; Kenia
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Fil: Thomas, Eleanor. The University Of Birmingham (tub);
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Fil: Gallos, Ioannis. The University Of Birmingham (tub);
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Fil: Mammoliti, Kristie Marie. The University Of Birmingham (tub);
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Fil: Coomarasamy, Arri. The University Of Birmingham (tub);
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Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Organizacion Mundial de la Salud; Argentina
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Fil: Lorencatto, Fabiana. Colegio Universitario de Londres; Reino Unido
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Fil: Bohren, Meghan A.. University of Melbourne; Australia
dc.journal.title
Frontiers in Global Women's Health
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.3389/fgwh.2022.1020163
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info:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fgwh.2022.1020163/full
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