Indicateurs sur la prévention et la prise en charge de l'HPPÂ : résultats 2015, une dynamique d'amélioration de la qualité des maternités indéniable

Since 2012, under the coordination of HAS, French maternity hospitals have collected data from hospital records to evaluate quality and safety of care about the prevention and initial care of post-partum hemorrhages (HPPI) through three indicators. In 2015, the average results are: 85% of delivery records contain bleeding prevention at delivery time (+5 points), 65% contain the basic clinical monitoring during 2 hours after birth (+12 points). Seventy-four percent of post-partum hemorrhage records indicate an initial care of HPPI in compliance with guidelines. All results are increased and maternity hospitals are more organized. To support and improve these results, it is necessary to systematize the prophylactic oxytocin injection, follow the basic clinical monitoring for two hours after birth, and measure blood loss at initial hemorrhage diagnosis. These indicators, aimed to compare maternity hospitals, are used by maternity hospitals to follow and improve clinical practices; by the institutional health management; and by customers to have information on the quality of health facilities (results are available at http://www.scopesante.fr). Forthcoming evaluation will take place during the first semester of 2017.