How common is substandard obstetric care in adverse events of birth asphyxia, shoulder dystocia and postpartum hemorrhage? Findings from an external inspection of Norwegian maternity units.

18 Despite the wide availability of evidence‐based guidelines and practical courses, the incidence of PPH shows an increasing trend in developed countries. 19 A review on adherence to PPH guidelines found that 38% of women with ≥1500 mL blood loss received substandard care. 20 In our study, substandard care was identified in 54.2% of cases with severe PPH.

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