Print Email Facebook Twitter Haemorrhage after home birth: audit of decision making and referral : Part 2 : Results and discussion Title Haemorrhage after home birth: audit of decision making and referral : Part 2 : Results and discussion Author Smit, M. Dijkman, A. Rijnders, M. Bustraan, J. van Dillen, J. Middeldorp, J. Havenith, B. van Roosmalen, J. Publication year 2013 Abstract In the Netherlands, 20 per cent of women give birth at home. In 0.7 per cent, referral to secondary care because of postpartum haemorrhage (PPH) is indicated. Midwives are regularly trained in managing obstetric emergencies. A postgraduate training programme developed for Dutch community-based midwives called ‘CAVE’ (pre-hospital obstetric emergency course) focuses on the identification and management of obstetric emergencies, including timely and adequate referral to hospital. This descriptive study aims to identify substandard care (SSC) in PPH after home birth in the Netherlands. Sixty seven cases of PPH reported by community-based midwives were collected. After applying selection criteria, seven cases were submitted to audit. The audit panel consisted of 12 midwives (of which seven contributed a case), 10 obstetricians, an educational expert and an ambulance paramedic. First, an individual assessment was performed by all members. Subsequently, at a plenary audit meeting, SSC factors were determined and assigned incidental, minor and major substandard care. Subject HumanCH - Child HealthBSS - Behavioural and Societal SciencesHealthy for LifeHealthHealthy LivingBirthHome To reference this document use: http://resolver.tudelft.nl/uuid:f07687ba-2d8e-49fd-a810-0d45c3ec56bc TNO identifier 490460 Source Practising Midwife, 16 (11), 28-31 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.