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Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study

Translating evidence-based guidelines into clinical practice is a complex challenge. This observational study aimed to assess the adherence to the Italian national guidelines on postpartum haemorrhage (PPH) and describe the clinical management of haemorrhagic events in a selection of maternity units...

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Autores principales: Donati, Serena, Buoncristiano, Marta, D’Aloja, Paola, Maraschini, Alice, Corsi Decenti, Edoardo, Lega, Ilaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093811/
https://www.ncbi.nlm.nih.gov/pubmed/37047913
http://dx.doi.org/10.3390/ijerph20075297
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author Donati, Serena
Buoncristiano, Marta
D’Aloja, Paola
Maraschini, Alice
Corsi Decenti, Edoardo
Lega, Ilaria
author_facet Donati, Serena
Buoncristiano, Marta
D’Aloja, Paola
Maraschini, Alice
Corsi Decenti, Edoardo
Lega, Ilaria
author_sort Donati, Serena
collection PubMed
description Translating evidence-based guidelines into clinical practice is a complex challenge. This observational study aimed to assess the adherence to the Italian national guidelines on postpartum haemorrhage (PPH) and describe the clinical management of haemorrhagic events in a selection of maternity units (MUs) in six Italian regions, between January 2019 and October 2020. A twofold study design was adopted: (i) a before–after observational study was used to assess the adherence to national clinical and organisational key recommendations on PPH management, and (ii) a cross-sectional study enrolling prospectively 1100 women with PPH ≥ 1000 mL was used to verify the results of the before–after study. The post-test detected an improved adherence to 16/17 key recommendations of the guidelines, with clinical governance and communication with family members emerging as critical areas. Overall, PPH management emerged as appropriate except for three recommended procedures that emphasise different results between the practices adopted and the difference between what is considered acquired and what is actually practised in daily care. The methodology adopted by the MOVIE project and the adopted training materials and tools have proved effective in improving adherence to the recommended procedures for appropriate PPH management and could be adopted in similar care settings in order to move evidence into practice.
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spelling pubmed-100938112023-04-13 Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study Donati, Serena Buoncristiano, Marta D’Aloja, Paola Maraschini, Alice Corsi Decenti, Edoardo Lega, Ilaria Int J Environ Res Public Health Article Translating evidence-based guidelines into clinical practice is a complex challenge. This observational study aimed to assess the adherence to the Italian national guidelines on postpartum haemorrhage (PPH) and describe the clinical management of haemorrhagic events in a selection of maternity units (MUs) in six Italian regions, between January 2019 and October 2020. A twofold study design was adopted: (i) a before–after observational study was used to assess the adherence to national clinical and organisational key recommendations on PPH management, and (ii) a cross-sectional study enrolling prospectively 1100 women with PPH ≥ 1000 mL was used to verify the results of the before–after study. The post-test detected an improved adherence to 16/17 key recommendations of the guidelines, with clinical governance and communication with family members emerging as critical areas. Overall, PPH management emerged as appropriate except for three recommended procedures that emphasise different results between the practices adopted and the difference between what is considered acquired and what is actually practised in daily care. The methodology adopted by the MOVIE project and the adopted training materials and tools have proved effective in improving adherence to the recommended procedures for appropriate PPH management and could be adopted in similar care settings in order to move evidence into practice. MDPI 2023-03-28 /pmc/articles/PMC10093811/ /pubmed/37047913 http://dx.doi.org/10.3390/ijerph20075297 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Donati, Serena
Buoncristiano, Marta
D’Aloja, Paola
Maraschini, Alice
Corsi Decenti, Edoardo
Lega, Ilaria
Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title_full Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title_fullStr Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title_full_unstemmed Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title_short Uptake and Adherence to National Guidelines on Postpartum Haemorrhage in Italy: The MOVIE before–after Observational Study
title_sort uptake and adherence to national guidelines on postpartum haemorrhage in italy: the movie before–after observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093811/
https://www.ncbi.nlm.nih.gov/pubmed/37047913
http://dx.doi.org/10.3390/ijerph20075297
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