Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2013

Open Access 01-12-2013 | Research article

The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands

Authors: Marrit Smit, Susanne IC Sindram, Mallory Woiski, Johanna M Middeldorp, Jos van Roosmalen

Published in: BMC Pregnancy and Childbirth | Issue 1/2013

Login to get access

Abstract

Background

At present, there are no guidelines on prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands. The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primary midwifery supervised (home) birth in the Netherlands.

Methods

A RAND modified Delphi procedure was applied. This method consists of five steps: (1) composing an expert panel (2) literature research and collection of possible quality indicators, (3) digital questionnaire, (4) consensus meeting and (5) critical evaluation. A multidisciplinary expert panel consisting of five midwives, seven obstetricians and an ambulance paramedic was assembled after applying pre-specified criteria concerning expertise in various domains relating to primary midwifery care, secondary obstetric care, emergency transportation, maternal morbidity or mortality audit, quality indicator development or clinical guidelines development and representatives of professional organisations.

Results

After literature review, 79 recommendations were selected for assessment by the expert panel. After a digital questionnaire to the expert panel seven indicators were added, resulting in 86 possible indicators. After excluding 41 indicators that panel members unanimously found invalid, 45 possible indicators were assessed at the consensus meeting. During critical evaluation 18 potential indicators were found to be overlapping and two were discarded due to lack of measurability.

Conclusions

A set of 25 quality indicators was considered valid for testing in practice.
Appendix
Available only for authorised users
Literature
1.
2.
3.
Fahy KM: Third stage of labour care for women at low risk of postpartum haemorrhage. J Midwifery Womens Health. 2009, 54: 380-386.CrossRefPubMed
4.
5.
6.
7.
Knight M, Callaghan WM, Berg C, Alexander S, Bouvier-Colle MH, Ford JB, Joseph KS, Lewis G, Liston RM, Roberts CL, et al: Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth. 2009, 9: 55-CrossRefPubMedPubMedCentral
8.
9.
van Dillen J, Mesman JA, Zwart JJ, Bloemenkamp KW, van Roosmalen J: Introducing maternal morbidity audit in the Netherlands. BJOG. 2010, 117: 416-421.CrossRefPubMed
10.
Zwart JJ, Richters JM, Ory F, de Vries JI, Bloemenkamp KW, Roosmalen vJ: Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nationwide population-based study of 371,000 pregnancies. BJOG. 2008, 115: 842-850.CrossRefPubMed
11.
Lawrence M, Olesen F: Indicators of quality in health care. Eur J Gen Pract. 1997, 3: 103-108.CrossRef
12.
13.
Campbell SM, Braspenning J, Hutchinson A, Marshall M: Research methods used in developing and applying quality indicators in primary care. Qual Saf Health Care. 2002, 11: 358-364.CrossRefPubMedPubMedCentral
14.
Mourad SM, Hermens RP, Nelen WL, Braat DD, Grol RP, Kremer JA: Guideline-based development of quality indicators for subfertility care. Hum Reprod. 2007, 22: 2665-2672.CrossRefPubMed
15.
Fitch K, Bernstein SJ, Aguilar MD, et al: The RAND/UCLA Appropriateness Method User’s Manual. 2001, VA: USA: Arlington
16.
Havenith B, van der Ploeg J: CAVE: Pre-hospital Obstetric Emergency Course Syllabus. 2010, the Netherlands: Boxmeer
17.
Bais JM, Eskes M, Pel M, Bonsel GJ, Bleker OP: Postpartum haemorrhage in nulliparous women: incidence and risk factors in low and high risk women. A Dutch population-based cohort study on standard (> or = 500 ml) and severe (> or = 1000 ml) postpartum haemorrhage. Eur J Obstet Gynecol Reprod Biol. 2004, 115: 166-172.PubMed
18.
Begley CM, Gyte GM, Murphy DJ, Devane D, McDonald SJ, McGuire W: Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev. 2010, CD007412-7
19.
Flandermeyer D, Stanton C, Armbruster D: Uterotonic use at home births in low-income countries: a literature review. Int J Gynaecol Obstet. 2010, 108: 269-275.CrossRefPubMed
20.
21.
Jangsten E, Mattsson LA, Lyckestam I, Hellstrom AL, Berg M: A comparison of active management and expectant management of the third stage of labour: a Swedish randomised controlled trial. BJOG. 2011, 118: 362-369.CrossRefPubMed
22.
Howell C, Grady K, Cox C: MOET Course Manual. 2007, London, UK: RCOG Press, 2003
23.
Leduc D, Senikas V, Lalonde AB, Ballerman C, Biringer A, Delaney M, Duperron L, Girard I, Jones D, Lee LS, et al: Active management of the third stage of labour: prevention and treatment of postpartum hemorrhage. J Obstet Gynaecol Can. 2009, 31: 980-993.CrossRefPubMed
24.
Mammen C, Sharma M: Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in home births in Pakistan: randomised placebo-controlled trial. BJOG. 2011, 118: 1018-1019.CrossRefPubMed
25.
Matar HE, Almerie MQ, Alsabbagh M, Jawoosh M, Almerie Y, Abdulsalam A, Duley L: Policies for care during the third stage of labour: a survey of maternity units in Syria. BMC Pregnancy Childbirth. 2010, 10: 32-CrossRefPubMedPubMedCentral
26.
Mousa HA, Alfirevic Z: Treatment for primary postpartum haemorrhage. Cochrane Database Syst Rev. 2007, CD003249-1
27.
28.
29.
30.
Smit M, van Stralen G, Wolterbeek R, van Dillen J, van Roosmalen J, Slootweg Y: Survey of prophylactic use of uterotonics in the third stage of labour in the Netherlands. Midwifery. 2013, 29: 859-862.CrossRefPubMed
31.
32.
Uphoff EP, Wennekes L, Punt CJ, Grol RP, Wollersheim HC, Hermens RP, Ottevanger PB: Development of Generic Quality Indicators for Patient-Centered Cancer Care by Using a RAND Modified Delphi Method. Cancer Nurs. 2012, 35: 29-37.CrossRefPubMed
33.
Fraser GM, Pilpel D, Kosecoff J, Brook RH: Effect of panel composition on appropriateness ratings. Int J Qual Health Care. 1994, 6: 251-255.CrossRefPubMed
34.
Sanghvi H, Ansari N, Prata NJ, Gibson H, Ehsan AT, Smith JM: Prevention of postpartum hemorrhage at home birth in Afghanistan. Int J Gynaecol Obstet. 2010, 108: 276-281.CrossRefPubMed
35.
Amelink-Verburg MP, Verloove-Vanhorick SP, Hakkenberg RMA, Veldhuijzen IME, Gravenhorst JB, Buitendijka SE: Evaluation of 280,000 cases in Dutch midwifery practices: a descriptive study. BJOG. 2008, 115: 570-578.CrossRefPubMed
Metadata
Title
The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands
Authors
Marrit Smit
Susanne IC Sindram
Mallory Woiski
Johanna M Middeldorp
Jos van Roosmalen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2013
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-13-194

Other articles of this Issue 1/2013

BMC Pregnancy and Childbirth 1/2013 Go to the issue

Research article

Disparities in the use of antenatal care service in Ethiopia over a period of fifteen years

Research article

An integrative review of the side effects related to the use of magnesium sulfate for pre-eclampsia and eclampsia management

Research article

The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: evidence from rural Southwestern Ethiopia

Research article

Effect of elective cesarean section on the risk of mother-to-child transmission of hepatitis B virus

Research article

Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia

Research article

Management of hepatitis B in pregnant women and infants: a multicentre audit from four London hospitals