Guideline

WHO recommendations on the assessment of postpartum blood loss and use of a treatment bundle for postpartum haemorrhage.

Year of Publication

2023

Issuing Institution

World Health Organization

Links

Recommendations

2 included recommendations

For all women giving birth, routine objective measurement of postpartum blood loss is recommended to improve the detection and prompt treatment of postpartum haemorrhage. Methods to objectively quantify blood loss, such as calibrated drapes for women having vaginal birth, can achieve this

Status

Maintained

Recommended

Certainty of evidence

Moderate

A standardized and timely approach to the management of postpartum haemorrhage (PPH), comprising an objective assessment of blood loss and use of a treatment bundle supported by an implementation strategy, is recommended for all women having a vaginal birth. The care bundle for the first-line treatment of PPH should include rapid institution of uterine massage, administration of an oxytocic agent and tranexamic acid, intravenous fluids, examination of the genital tract and escalation of care.

Status

Maintained

Recommended

Certainty of evidence

Moderate