Challenges in childbirth research – caesarean section, obesity and postpartum haemorrhage. Prof Cecily Begley Trinity College Dublin, Ireland and Visiting Professor, University of Gothenburg, Sweden. Challenges in Childbirth. …and Challenges in Childbirth Research…
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Challenges in childbirth research – caesarean section, obesity and postpartum haemorrhage
Prof Cecily Begley
Trinity College Dublin, Ireland
Visiting Professor, University of Gothenburg, Sweden
The OptiBIRTH Study
To increase VBAC rates from 25 to 53% (approximately)…..
through enhanced women-centred care…
Average estimated blood loss was:
258 mls (SD 197 mls) in the ‘expectant’ group
241 mls (SD 177 mls) in the ‘active’ group
This was a non-significant difference of -17 mls (95% CI -35.835 to 1.778) (t=-1.78, d.f. = 1519, p=0.76).
Postpartum haemorrhage rates were:
2.71% (n=20) in the ‘expectant’ group
2.17% (n=17) in the ‘active’ group
No significant difference (chi-square = 0.465, d.f.=1, p=0.50).
AMTSL: 19 mins 2 secs (SD 1 min 11 secs)
EMTSL: 20 mins18 secs (SD 1 min 8 secs)
The New Zealand (Dixon 2013) and Irish (Begley et al 2014) studies show that when:
……. mean blood loss amounts, and PPH rates, are similar regardless of whether active or expectant care is used.
….helps women to have happy childbirth, as well as healthy