March 26, 2019

This was originally an assignment in a midwifery course. I've shared my thoughts here in hopes it helps other birth workers serve all birthing people with dignity and thoughtfulness. To read the original format of the assignment and/or references, click here


Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. This is true despite the availability of uterotonic medications and standardized protocols of active management of third stage labor (AMTSL). There is a lack of universally accepted definitions of terms related to PPH and AMTSL. Additionally, conflicting research exists on the safety and efficacy of these medications among specific populations, which has led to great variation in protocol recommendations. Finally, there are concerns among scholars and practitioners that PPH prevention practices are informed by decades of research solely focused on pharmacologically influenced birth. These factors preclude thorough understandi...

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