2008
DOI: 10.1111/j.1523-536x.2008.00255.x
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An Education and Motivation Intervention to Change Clinical Management of the Third Stage of Labor—The GIRMMAHP Initiative

Abstract: An education intervention and discussion of actual clinical practice problems with health professionals and their involvement in drafting clinical guidelines helped improve health care quality and practitioners' adherence to these guidelines.

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Cited by 17 publications
(26 citation statements)
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“…Failure to secure timely provision of drugs and equipment [30,60], frequent reassignment of staff [31,56,58,61] and delays in implementing critical policy changes [37,39] are other issues reported stemming from poor policy decisions at higher levels.…”
Section: Resultsmentioning
confidence: 99%
“…Failure to secure timely provision of drugs and equipment [30,60], frequent reassignment of staff [31,56,58,61] and delays in implementing critical policy changes [37,39] are other issues reported stemming from poor policy decisions at higher levels.…”
Section: Resultsmentioning
confidence: 99%
“…47,48 A clear picture of treatment efficacy and areas for improvement are garnered when case audit for the underlying cause of PPH, careful calculation of the hemorrhage rate, quantification of uterotonic use, and documentation compliance to the protocol are considered together. Active management is not part of the state-wide initiative, but rather a decision for obstetrical management made by the hospital's Obstetric Safety committee.…”
Section: Discussionmentioning
confidence: 99%
“…It is clear that the content of the intervention was lighter and shorter than other behavioural interventions that have been proven to effectively modify obstetric practices. 10 It was designed to be easily reproducible. It may however have been insufficient to lead to major improvement of practices.…”
Section: Discussionmentioning
confidence: 99%
“…9,10 Conversely, improving obstetric care for the management of PPH remains difficult, although greatly needed. Reports from confidential enquiries into maternal deaths show that most deaths due to PPH involve delayed and substandard care in the diagnosis and management of haemorrhage.…”
Section: Introductionmentioning
confidence: 99%