Masters Degrees (Obstetrics and Gynaecology)

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Browsing Masters Degrees (Obstetrics and Gynaecology) by browse.metadata.advisor "De Waard, Liesl"

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    The utility and acceptability of a Brass V-drape versus a Maternawell tray for the collection of postpartum blood loss in low-risk term vaginal deliveries: a prospective parallel randomized trial
    (Stellenbosch : Stellenbosch University, 2023-12) Esau, Jade Monique; Morris, T; Muller, CJB; Els, Hester Christine; De Waard, Liesl; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology.
    ENGLISH ABSTRACT: Objective To assess the perceived usefulness and ease of use of a Brass V-drape versus a Maternawell tray for the collection of postpartum blood loss. Design Prospective parallel randomised controlled trial Setting Site B Midwife and Obstetric Unit, Khayelitsha, Cape Town, South Africa Methods The study was approved by the Health Research and Ethics Committee of Stellenbosch University (S21/10/191). Informed consent was obtained, and participants were randomised to either the Brass-V drape or Maternawell tray, the birth attendant placed these after the delivery of the baby. The birth attendant and participant completed a questionnaire and clinical data was collected. Main Outcome Measures To assess and compare the perceived usefulness and ease of use of a Brass V-Drape versus the Maternawell tray for the collection of post-delivery blood loss by the birth attendant as well as the participant. Additionally, secondary outcomes included describing the characteristics of the study participants, measuring the blood loss for each participant, analysing the details of participants with blood loss exceeding 500ml, and identifying potential risk factors for postpartum haemorrhage Stellenbosch University https://scholar.sun.ac.za Results There were 63 participants, 33 assigned to the Maternawell tray and 30 to the BrassV drape. The mean delivery gestation was 39[37-43] weeks. Birth attendants were keen to use the Maternawell tray 30/33(90%) or Brass-V drape 26/30(87%) for future deliveries. The participants 33/33(100%) delivering with the Maternawell tray and 28/30(93%) with the Brass-V drape would be keen to use it in future. There were five (8%) cases of postpartum haemorrhage, two with the Maternawell tray and three with the Brass-V drape, one required hospital transfer. Conclusion The response to the Maternawell tray and the Brass-V drape were positive and accepted by the birth attendants and participants. With the option of reuse and lower cost, the Maternawell tray appears to be an acceptable alternative, and could provide a solution for early recognition of postpartum haemorrhage.