Search results
A flow chart of the literature search process and results are shown in
the Supplementary material (s1)
(a) International and national guidelines.
NICE16,43, FIGO17,
RCOG18, WHO19,
ACOG20 and South African Confidential Enquiry into
Maternal Death guidelines (SA-NCCEMD)35 guidelines
based on evidence and on expert opinion, were all reviewed and shared a
common approach: identifying the problem (PPH), calling for assistance,
resuscitation and monitoring, identifying the cause of bleeding and
initial treatment measures. The RCOG and ACOG guidelines in particular,
gave detailed guidance on assessing blood loss and resuscitation
measures, including use of blood products.
(b) Research databases and systematic reviews
After exclusions, 13 Cochrane reviews , 19 Medline publications and 9
CINAHL publications were identified. Some of these reviews referred to
all four algorithms and some to specific ones.
(c) Other evidence.
The Algorithms for PPH devised by the South African Confidential Enquiry
into Maternal Deaths are included. 35 Relevant
articles and research on resuscitation and shock are included.44,45,46
Some individual Randomised Controlled trials (e.g. CHAMPION, WOMAN)22,34 and some case series related to PPH management
are also included. 31,32
Algorithms were found in the FIGO17,
RCOG18 and SA-NCCEMD35 publications;
all are consistent with the PPH algorithm being presented.