Resumo

RUBGEGA, F et al. Rapid response, E-MOTIVE and suction tamponade for postpartum haemorrhage (ARREST PPH): A quality improvement project. S. Afr. j. child health [online]. 2026, vol.20, n.spe, pp.5-7. ISSN 1999-7671.  https://doi.org/10.7196/sajch.2025.v20i1.s11.

BACKGROUND: Research supports routine monitoring of blood loss, early bundled treatment of postpartum haemorrhage (PPH), and suction uterine tamponade for refractory PPH OBJECTIVES: To implement recent research evidence and World Health Organization guidance on the prevention and management of PPH METHODS: We co-designed, with input from midwifery and medical staff, and conducted a quality-of-care improvement project at Princess Marina Hospital, Gaborone, Botswana. We conducted training and placed posters in the labour ward promoting evidence-based third-stage care with a novel checklist mnemonic, BOND (Baby skin-to-skin, Oxytocic, iNitiate blood loss monitoring, Delay cord clamping); use of the reusable MaternaWell Tray for blood loss monitoring after birth; early implementation of the MOTIVE bundle for PPH (uterine Massage, Oxytocin, Tranexamic acid, IntraVenous fluids, Examination, and, if needed, Escalation); and early use of suction tube uterine tamponade with the improvised Levin tube for refractory PPH. We provided in-service mentorship OBSERVATIONS: Unstructured observations indicate good uptake of the treatment interventions. Routine blood loss monitoring has been difficult to institutionalise CONCLUSION: The mnemonic-driven checklist approach is promising. Creative solutions are needed to further advance behaviour change. Training materials are available on the Obstetric Skills Library (YouTube

Palavras-chave : postpartum haemorrhage; prevention; treatment; mnemonic; checklist; behaviour change.

        · texto em Inglês     · Inglês ( pdf )