| A comparison of excessive postpartum blood loss estimates among three subgroups of women attending births in Matlab, Bangladesh. | |
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MedLine Citation:
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PMID: 20625452 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Postpartum hemorrhage (PPH) is the leading cause of maternal death and disability worldwide. Recognition depends on subjective visual quantification. This study sought to assess and compare the thresholds for excessive postpartum blood loss reported by skilled birth attendants (SBA), traditional birth attendants (TBA), and laywomen in Matlab, Bangladesh. METHOD: Data from six questions asking about excessive blood loss in the postpartum period were analyzed using analysis of variance (ANOVA), Hochberg test, Kruskal-Wallis and standard descriptive statistics. RESULTS: Thresholds for excessive blood loss estimated by laywomen and TBAs exceed biomedical standards for PPH. Skilled birth attendant reports are consistent with the definition of severe acute PPH. CONCLUSION: Further research on locally validated blood collection devices, in birth kits, for diagnostic aid or referral indication is needed. Areas where coverage and uptake of skilled birth attendance are low should be targeted due to the number of home births attended by TBAs and laywomen in such settings. PRECIS: A comparison of excessive postpartum blood loss estimates among skilled birth attendants, traditional birth attendants and laywomen in Matlab, Bangladesh. |
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Authors:
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Joyce K Edmonds; Daniel Hruschka; Lynn M Sibley |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of midwifery & women's health Volume: 55 ISSN: 1542-2011 ISO Abbreviation: J Midwifery Womens Health Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-15 Completed Date: 2010-11-01 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 100909407 Medline TA: J Midwifery Womens Health Country: United States |
Other Details:
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Languages: eng Pagination: 378-82 Citation Subset: IM; N |
Affiliation:
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Center for Research on Maternal and Newborn Survival, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Bangladesh / epidemiology Community Health Services / standards, statistics & numerical data* Female Home Childbirth / standards, statistics & numerical data* Humans Maternal Mortality* Midwifery / methods, statistics & numerical data* Postpartum Hemorrhage / epidemiology* Pregnancy Rural Population Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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F31 NR010650-02/NR/NINR NIH HHS; F31NR010650/NR/NINR NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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