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…
Prof Cecily Begley
Trinity College Dublin, Ireland
Visiting Professor, University of Gothenburg, Sweden
The OptiBIRTH Study obesity and postpartum haemorrhage
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 obesity and postpartum haemorrhage