The quality improvement project evaluating the delivery of a perioperative care complex intervention to improve haemorrhage-related outcomes in patients undergoing caesarean section. The objectives of the current study will be: 1. To evaluate whether implementation of the 'Rule of THUMB' perioperative complex intervention increases risk assessment, diagnosis and compliance with proven interventions for haemorrhage during and after caesarean section. 2. To understand the influence of contextual and socio-dynamic factors on how the trial results were achieved and how the intervention mechanisms did, or did not, work in practice (the process evaluation). The findings from this study will be used subsequently to modify and improve the quality improvement intervention, so that it can be delivered at scale across Africa and assess its impact on haemorrhage during and after caesarean section in the future.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Patient assessed as high-risk for postpartum haemorrhage
Timeframe: 6 months
Administration of uterotonics intra- or postoperatively
Timeframe: 6 months
Administration of tranexamic acid intra- or postoperatively
Timeframe: 6 months
Uterine massage intra- or postoperatively after delivery of the baby
Timeframe: 6 months
A postoperative clinician visit within four hours of discharge to the ward
Timeframe: 6 months