{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T04:58:11Z","timestamp":1792299491483,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"s1","license":[{"start":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T00:00:00Z","timestamp":1395100800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the clinical practices, risks, and maternal outcomes associated with postpartum haemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary analysis of cross\u2010sectional data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A total of 352 health facilities in 28 countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>A total of 274\u00a0985 women giving birth between 1 May 2010 and 31 December 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used multivariate logistic regression to examine factors associated with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> among all births, and the Pearson chi\u2010square test to examine correlates of severe maternal outcomes (<jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>s) among women with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>. All analyses adjust for facility\u2010 and country\u2010level clustering.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> SMO<\/jats:styled-content>s, and clinical practices for the management of <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of all the women included in the analysis, 95.3% received uterotonic prophylaxis and the reported rate of <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> was 1.2%. Factors significantly associated with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> diagnosis included age, parity, gestational age, induction of labour, caesarean section, and geographic region. Among those with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>, 92.7% received uterotonics for treatment, and 17.2% had an <jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>. There were significant differences in the incidence of <jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>s by age, parity, gestational age, anaemia, education, receipt of uterotonics for prophylaxis or treatment, referral from another facility, and Human Development Index (<jats:styled-content style=\"fixed-case\">HDI<\/jats:styled-content>) group. The rates of death were highest in countries with low or medium <jats:styled-content style=\"fixed-case\">HDI<\/jats:styled-content>s. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among women with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>, disparities in the incidence of severe maternal outcomes persist, even among facilities that report capacity to provide all essential emergency obstetric interventions. This highlights the need for better information about the role of institutional capacity, including quality of care, in <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>\u2010related morbidity and mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12636","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T11:53:38Z","timestamp":1395143618000},"page":"5-13","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":279,"title":["Postpartum haemorrhage management, risks, and maternal outcomes: findings from the World Health Organization Multicountry Survey on Maternal and Newborn Health"],"prefix":"10.1111","volume":"121","author":[{"given":"WR","family":"Sheldon","sequence":"first","affiliation":[{"name":"Gynuity Health Projects New York NY 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