{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T01:03:10Z","timestamp":1775523790402,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T00:00:00Z","timestamp":1535932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"TLNAS"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Timor Leste has one of the highest maternal death rates in the world at 215 per 100\u2009000 live births.<jats:sup>1<\/jats:sup>Post\u2010partum haemorrhage (PPH) accounts for 27% of maternal deaths globally. Annually the Timor Leste National Ambulance Service (TLNAS) attends over 20\u2009000 cases, of which 2% are diagnosed with PPH. The objective of this study was to evaluate prehospital care of PPH patients transported by the TLNAS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit of PPH patients transported between May 2015 and May 2017. The inclusion criteria were patients diagnosed with PPH and transported during the study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from the patient care records of 214 TLNAS PPH patients were abstracted using the PPH care evaluation tool. Paramedics diagnosed 211 (97%) PPH patients, took observations on 181 (85%) and obtained a patient history from 193 (90%) patients. TLNAS paramedics did not regularly provide other treatment including oxygen 36 (17%), intravenous isotonic crystalloid fluid 117 (55%), uterine massage 0 (0%), external aortic compression 0 (0%) and non\u2010pneumatic anti\u2010shock garments 9 (4%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This research has shown that paramedics are not consistently using available clinical interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13153","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T07:09:58Z","timestamp":1535958598000},"page":"814-819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Management of post\u2010partum haemorrhage in the Timor Leste National Ambulance Service"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0299-8321","authenticated-orcid":false,"given":"Jonathan","family":"Moores","sequence":"first","affiliation":[{"name":"Timor Leste National Ambulance Service Dili Timor Leste"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustodio A","family":"de Jesus","sequence":"additional","affiliation":[{"name":"Timor Leste National Ambulance Service Dili Timor Leste"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.1596\/978-9-2415-6514-1","volume-title":"Maternal Mortality in 1990\u20132015 Timor Leste","author":"World Health Organization","year":"2015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","unstructured":"Sepulveda Carmona M. Report of the Special Rapporteur on Extreme Poverty and Human Rights. Mission to Timor\u2010Leste.2014. [Cited 26 Feb 2018.] Available from URL:https:\/\/ssrn.com\/abstract=2494404","DOI":"10.2139\/ssrn.2494404"},{"key":"e_1_2_8_4_1","unstructured":"Asian Development Bank. Road Sector Improvement Project.2005. [Cited 24 Feb 2018.] Available from URL:https:\/\/www.adb.org\/sites\/default\/files\/project\u2010document\/68962\/38618\u2010tim\u2010pam.pdf"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_8_6_1","volume-title":"National Health Sector Strategic Plan 2011\u20132030","author":"Ministry of Health Timor Leste","year":"2011"},{"key":"e_1_2_8_7_1","volume-title":"Monitoring Emergency Obstetric Care: A Handbook","author":"World Health Organization","year":"2009"},{"key":"e_1_2_8_8_1","volume-title":"Comprehensive Services Package for Primary Health Care","author":"Ministry of Health Timor Leste","year":"2015"},{"key":"e_1_2_8_9_1","volume-title":"Survey Conducted by Christian Blind Mission (CBM)","author":"Christian Blind Mission","year":"2015"},{"key":"e_1_2_8_10_1","volume-title":"Dispatch System","author":"Timor Leste National Ambulance Service","year":"2017"},{"key":"e_1_2_8_11_1","volume-title":"CPG 00401 Primary Postpartum Haemorrhage (PPH)","author":"Ambulance Victoria","year":"2016"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.04.001"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2190\/91YH-A52T-AFBB-1LEA"},{"key":"e_1_2_8_14_1","volume-title":"WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage","author":"World Health Organization","year":"2012"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1742-6723.13153","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T19:56:51Z","timestamp":1751831811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,3]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1111\/1742-6723.13153"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13153","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,3]]},"assertion":[{"value":"2018-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}