Haemorrhagia Postpartum: an Implementation Study on the NVOG Guidelines and MOET Instructions

NCT00928863 | Unknown

• 1 other identifier: 80-82315-98-09003
• Study Type: observational
• Target: 320
• Locations: 1 country
• Sites: 1

Brief Summary

The objectives of this study is first to asses to what extent the guidelines of the Dutch Society of Obstetrics and Gynaecology (NVOG) and the MOET (Management of Obstetric and Emergencies and Trauma) instructions for haemorrhagia postpartum have been implemented in current care in the Dutch practice. Second to study barriers and facilitators for guideline adherence and to develop and test a tailored implementation strategy, based on these findings.

Conditions

Hemorrhage, Postpartum

Keywords

haemorrhagia postpartum; implementation guidelines; maternal morbidity; management of obstetrics and trauma

Outcome Measures

Primary Outcomes (3)

• actual care study: the primary outcome measure is the adherence to the quality indicators (derived from the NVOG guideline on HPP and the MOET instructions).

  1 year

• feasibility study: the primary outcome measure regarding effectiveness is the adherence to developed quality indicators.

  1 years

• barrier analysis

  the primary outcomes in the barrier analysis are the barriers and facilitators among patients and professional regarding adherence to the quality indicators

  1 year

Secondary Outcomes (2)

• actual care study: the secondary outcome measure is the outcome (e.g. the incidence of HPP) of care.

  1 year

• feasibility study: the secondary outcome measures are the experiences of professionals and patients with the different elements of the implementation strategy and the changed care, and the cost of the tested strategy.

  1 year

Study Arms (1)

Haemorrhagia post partum

Women with a high risk for haemorrhagia post partum.

Other: implementation aids

Interventions

implementation aids OTHER

testing a taylor made strategy for implementation NVOG guideline and MOET instruction in 3 hospitals

Haemorrhagia post partum

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

women with a high risk for haemorrhagia postpartum delivering in a hospital

You may qualify if:

• woman with a high risk for haemorrhagia post partum

You may not qualify if:

• woman who refuses to participate

Sponsors & Collaborators

• ZonMw: The Netherlands Organisation for Health Research and Development: lead

Study Sites (1)

Radboud University Nijmegen Medical Centre

Nijmegen, 6500 HB, Netherlands

Location

Related Publications (5)

• Woiski M, de Visser S, van Vugt H, Dijkman A, Schuitemaker N, van Meir C, Middeldorp J, Huisjes A, Mol BW, Molkenboer J, Moonen-Delarue D, Oudijk M, van Rheenen-Flach L, Rijnders R, Pernet P, Porath M, de Wit S, Grol R, Scheepers H, Hermens R. Evaluating Adherence to Guideline-Based Quality Indicators for Postpartum Hemorrhage Care in the Netherlands Using Video Analysis. Obstet Gynecol. 2018 Sep;132(3):656-667. doi: 10.1097/AOG.0000000000002781.

  PMID: 30095761 DERIVED

• de Visser SM, Woiski MD, Grol RP, Vandenbussche FPHA, Hulscher MEJL, Scheepers HCJ, Hermens RPMG. Development of a tailored strategy to improve postpartum hemorrhage guideline adherence. BMC Pregnancy Childbirth. 2018 Feb 8;18(1):49. doi: 10.1186/s12884-018-1676-6.

  PMID: 29422014 DERIVED

• Woiski MD, van Vugt HC, Dijkman A, Grol RP, Marcus A, Middeldorp JM, Mol BW, Mols F, Oudijk MA, Porath M, Scheepers HJ, Hermens RP. From Postpartum Haemorrhage Guideline to Local Protocol: A Study of Protocol Quality. Matern Child Health J. 2016 Oct;20(10):2160-8. doi: 10.1007/s10995-016-2050-9.

  PMID: 27395381 DERIVED

• Woiski MD, Belfroid E, Liefers J, Grol RP, Scheepers HC, Hermens RP. Influencing factors for high quality care on postpartum haemorrhage in the Netherlands: patient and professional perspectives. BMC Pregnancy Childbirth. 2015 Oct 23;15:272. doi: 10.1186/s12884-015-0707-9.

  PMID: 26497307 DERIVED

• Woiski MD, Hermens RP, Middeldorp JM, Kremer JA, Marcus MA, Wouters MG, Grol RP, Lotgering FK, Scheepers HC. Haemorrhagia post partum; an implementation study on the evidence-based guideline of the Dutch Society of Obstetrics and Gynaecology (NVOG) and the MOET (Managing Obstetric Emergencies and Trauma-course) instructions; the Fluxim study. BMC Pregnancy Childbirth. 2010 Jan 26;10:5. doi: 10.1186/1471-2393-10-5.

  PMID: 20102607 DERIVED

MeSH Terms

Conditions

Postpartum Hemorrhage; Wounds and Injuries

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Rosella Hermens, PhD

  IQ healthcare, Radboud University Nijmegen Medical Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr

Study Record Dates

• First Submitted: June 25, 2009
• First Posted: June 26, 2009
• Study Start: January 1, 2010
• Primary Completion: August 1, 2013
• Study Completion: August 1, 2013
• Last Updated: May 24, 2013

Record last verified: 2013-05

Locations

NL (1)