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Table 3.

Characteristics of care provided for severe PPH, 2005 to 2008, in the 2 units

Level II Unit 2005
2006
2007
2008
P*
n % n % n % n %
32 100 9 100 8 100 11 100
 ▪ Global quality of care
  Optimal care 15 47 8 88 5 63 8 73 0.1
  Sub-optimal care 17 53 1 22 3 37 3 27
  Non-optimal care 0 0 0 0 0 0 0 0
 ▪ Specific components of management
  All Severe PPH 32 100 9 100 8 100 11 100
  Administration of oxytocin 27 84 9 100 8 100 11 100 0.8
  Call for additional staff 28 88 8 89 8 100 10 91 0.9
  Severe PPH at vaginal delivery 21 100 6 100 3 100 8 100
  Pharmacological prophylaxis 10 48 5 83 2 67 7 88 0.1
  Examination of the uterine cavity 15 71 6 100 2 67 6 75 0.8
  within 15 minutes of PPH diagnosis 9 43 5 83 2 67 5 63 0.6
  Instrumental examination of vagina/cervix 5 24 6 100 3 100 7 88 <0.01
  Severe PPH due to uterine atony 21 100 7 100 7 100 6 100
  Intravenous administration of sulprostone 8 38 6 86 6 86 5 83 0.1
  within 30 min of PPH diagnosis 6 29 6 86 5 71 5 83 0.05
Level III Unit n % n % n % n % P*
45 100 41 100 33 100 31 100
 ▪ Global quality of care
  Optimal care 10 22 9 22 14 42 19 61 <0.01
  Sub-optimal care 24 53 27 66 18 55 11 35
  Non-optimal care 11 24 5 12 1 3 1 4
 ▪ Specific components of management
  All Severe PPH 45 100 41 100 33 100 31 100
  Administration of oxytocin 43 96 36 88 32 97 31 100 0.9
  Call for additional staff 43 96 41 100 31 94 30 97 0.9
  Severe PPH at vaginal delivery 27 100 25 100 16 100 9 100
  Pharmacological prophylaxis 5 19 18 72 10 63 9 100 <0.01
  Examination of the uterine cavity 19 70 23 92 16 100 8 89 0.5
  within 15 minutes of PPH diagnosis 7 26 22 88 10 63 8 89 <0.01
  Instrumental examination of vagina/cervix 11 41 18 72 9 56 8 89 0.03
  Severe PPH due to uterine atony 35 100 29 100 14 100 19 100
  Intravenous administration of sulprostone 20 57 25 86 13 93 18 95 <0.01
  within 30 min of PPH diagnosis 5 14 16 55 7 50 18 95 <0.01
* Difference between 2005 and 2008
Int J Qual Health Care. 2011 October; 23(5): 583–9.
Published online 2011 July 6. doi: 10.1093/intqhc/mzr042.