Randomized trial of early detection and treatment of postpartum haemorrhage

Gallos I, Devall A, Martin J, Middleton L, Beeson L, Galadanci H et al.

N Engl J Med 2023; 389:11-21.

This study included over 210,000 women who had normal vaginal delivery, who were randomized to usual care or a package of care aimed at early detection and treatment of postpartum haemorrhage. Rates of severe bleeding, laparotomy or death were reduced from 4.3 to 1.6 per cent (P<0.001) with the care package.

Comment: Possibly not very surgical, except it reduces laparotomies, but what a wonderful study, and generalisable worldwide. As relevant in high income countries.