A brand new technique of treating ladies struggling extreme bleeding after childbirth reduces the variety of maternal deaths by 60%, researchers have discovered.
Postpartum haemorrhage (PPH) – outlined because the lack of greater than 500ml of blood inside 24 hours after delivery – is presently the main reason behind maternal mortality worldwide, killing one lady each six minutes.
It impacts 14 million ladies annually and ends in round 70,000 deaths globally, predominately in low and middle-income international locations.
A examine of greater than 200,000 ladies in 4 international locations, by the World Health Organization and the University of Birmingham, has now discovered that easy strategies – when used collectively – can scale back the variety of deaths considerably.
Researchers found that objectively measuring blood loss utilizing a easy, low-cost assortment machine referred to as a ‘drape’ and bundling collectively WHO-recommended therapies – quite than providing them one after the opposite – resulted in dramatic enhancements in outcomes for ladies.
Severe bleeding – when a lady loses greater than a litre of blood after delivery – was diminished by 60%, with ladies much less more likely to die.
There was additionally a considerable discount within the charge of blood transfusions wanted for bleeding, which is of explicit significance in low-income international locations the place blood is a scarce and costly useful resource.
‘Scary, unpredictable – however treatable’
Currently, a serious problem in responding to PPH is that it’s usually detected too late for medics to reply successfully.
Most suppliers use visible inspection to evaluate bleeding, which tends to underestimate blood loss and may result in life-threatening delays in remedy.
When remedy is offered, that is usually carried out in a sequential method with gaps between every intervention – costing extra time if the primary choices are usually not efficient.
Now, if a lady is assessed to have extreme bleeding she ought to be supplied an instantaneous remedy bundle, the examine suggests.
This would come with uterine therapeutic massage, medicines to contract the womb and cease the bleeding, intravenous fluid administration, an examination and, when wanted, escalation to superior care.
The new system is named E-MOTIVE intervention, and all components of it may be carried out by midwives.
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“Postpartum haemorrhage is scary, not always predictable, but absolutely treatable. Nonetheless, its impacts around the world are tragic,” mentioned Dr Pascale Allotey, director of sexual and reproductive well being and analysis at WHO and head of the United Nations’ Special Programme of Research, Development and Research Training in Human Reproduction (HRP).
“No woman should fear for her life when giving birth,” she added.
“Effective solutions to tackle postpartum bleeding need to be available and accessible so that all women can experience a safe birth and a healthy future with their families.”
Source: information.sky.com”
