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The current global effort to prevent Postpartum Haemorrhage: How likely is it to be effective?

Abstract:

This paper outlines the global effort by health professional agencies to reduce maternal deaths by managing the third stage of labour actively. It explores the tensions in the way midwifery and obstetric practice changes evolve, and are implemented, within developing and developed worlds. It questions the effectiveness of introducing the Western birth management practice of actively intervening in the third stage of every woman’s birth when that intervention relies on certainty of access to pharmaceuticals. It argues that complex problems require complex solutions, and that the midwifery profession should have a clear rationale for its decisions in relation to any intervention in labour and birth before promulgating major change.

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maternal deaths, postpartum haemorrhage, third stage of labour, uterotonic drugs