FIGO Recommendations on the Management of Postpartum Hemorrhage 2022

Escobar, MF, Nassar, AH, Theron, G et al. FIGO recommendations on the management of postpartum hemorrhage 2022. Int J Gynecol Obstet. 2022; 157(Suppl. 1): 3– 50. doi:10.1002/ijgo.14116

Purpose and Scope
The purpose of this document is to update key concepts in the management of postpartum hemorrhage (PPH) and give clear and precise tools to health personnel in low- and middle-income countries (LMICs) to perform evidence-based treatments, with the aim of reducing related maternal morbidity and mortality.

Target Audience
Gynecologists, obstetricians, midwives, nurses, general practitioners, and other health personnel in charge of the care of pregnant women with PPH.

Methods
The recommendations were developed as a synthesis and update of evidence from the literature. They are based on the FIGO Safe Motherhood and Newborn Health Committee (SMNH) guidelines that were published in 20121 and include research and consensus guide-lines. For the present document, a bibliographic review was performed, and studies from LMICs and across regions were identified using the search engines PubMed, Medline, Embase, Science Direct, and Google Scholar. According to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach, this update does not generate a universal level of evidence. However, each section and the generated conclusions and recommendations use the degrees of evidence that were identified in the bibliographic review.

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