OBJECTIVE: To determine the use of the active management of the third stage of labour in 15 university-based obstetric centres in ten developing and developed countries and to determine whether evidence-based practices were being used. METHODS: From March 1999 to December 1999, the Global Network for Perinatal and Reproductive Health (GNPRH) conducted an observational, cross-sectional survey to assess the use of the practice and its components. Prospective data on patient characteristics and the interventions used in the management of the third stage of labour were collected using standardized methods. Data on approximately 30 consecutive vaginal deliveries in each centre (452 in total) were included. FINDINGS: Significant intracountry and intercountry variation in the practice of the active management of the third stage of labour was found (111/452 deliveries used active management), which confirmed the existence of a large gap between knowledge and practice. CONCLUSION: Areas identified for improvement are the urgent implementation of the evidence-based clinical management practice defined as the active management of the third stage of labour; increased accessibility to systematic reviews in developing countries; and the conduction of clinical trials that assess the impact of this intervention in other settings.
OBJECTIVE: To determine the use of the active management of the third stage of labour in 15 university-based obstetric centres in ten developing and developed countries and to determine whether evidence-based practices were being used. METHODS: From March 1999 to December 1999, the Global Network for Perinatal and Reproductive Health (GNPRH) conducted an observational, cross-sectional survey to assess the use of the practice and its components. Prospective data on patient characteristics and the interventions used in the management of the third stage of labour were collected using standardized methods. Data on approximately 30 consecutive vaginal deliveries in each centre (452 in total) were included. FINDINGS: Significant intracountry and intercountry variation in the practice of the active management of the third stage of labour was found (111/452 deliveries used active management), which confirmed the existence of a large gap between knowledge and practice. CONCLUSION: Areas identified for improvement are the urgent implementation of the evidence-based clinical management practice defined as the active management of the third stage of labour; increased accessibility to systematic reviews in developing countries; and the conduction of clinical trials that assess the impact of this intervention in other settings.
Authors: Cynthia Stanton; Deborah Armbruster; Rod Knight; Iwan Ariawan; Sourou Gbangbade; Ashebir Getachew; Jose Angel Portillo; Douglas Jarquin; Flor Marin; Sayoka Mfinanga; Jesus Vallecillo; Hope Johnson; David Sintasath Journal: Bull World Health Organ Date: 2009-03 Impact factor: 9.408
Authors: Steven A Harvey; Yudy Carla Wong Blandón; Affette McCaw-Binns; Ivette Sandino; Luis Urbina; César Rodríguez; Ivonne Gómez; Patricio Ayabaca; Sabou Djibrina Journal: Bull World Health Organ Date: 2007-10 Impact factor: 9.408
Authors: Judith T Fullerton; Kevin D Frick; Linda A Fogarty; Joy D Fishel; Donna M Vivio Journal: J Health Popul Nutr Date: 2006-12 Impact factor: 2.000
Authors: Godfrey S Mfinanga; Godfather D Kimaro; Esther Ngadaya; Sirili Massawe; Rugola Mtandu; Elizabeth H Shayo; Amos Kahwa; Ominde Achola; Alice Mutungi; Rod Knight; Deborah Armbruster; David Sintasath; Andrew Kitua; Cynthia Stanton Journal: Health Res Policy Syst Date: 2009-04-16
Authors: C Winter; A Macfarlane; C Deneux-Tharaux; W-H Zhang; S Alexander; P Brocklehurst; M-H Bouvier-Colle; W Prendiville; V Cararach; J van Roosmalen; I Berbik; M Klein; D Ayres-de-Campos; R Erkkola; L M Chiechi; J Langhoff-Roos; B Stray-Pedersen; C Troeger Journal: BJOG Date: 2007-07 Impact factor: 6.531