Althabe F., Therrien M. N. S., Pingray V., Hermida J., Gulmezoglu A. M., Armbruster D., Singh N., Guha M., Garg L. F., Souza J. P., Smith J. M., Winikoff B., Thapa K., Hebert E., Liljestrand J., Downe S., Elorrio E. G., Arulkumaran S., Byaruhanga E. K., Lissauer D. M., Ogutu M., Dumont Alexandre, Escobar M. F., Fuchtner C., Lumbiganon P., Burke T. F., Miller S. (2020). Postpartum hemorrhage care bundles to improve adherence to guidelines : a WHO technical consultation. International Journal of Gynecology and Obstetrics, 148 (3), 290-299. ISSN 0020-7292.
Titre du document
Postpartum hemorrhage care bundles to improve adherence to guidelines : a WHO technical consultation
Année de publication
2020
Auteurs
Althabe F., Therrien M. N. S., Pingray V., Hermida J., Gulmezoglu A. M., Armbruster D., Singh N., Guha M., Garg L. F., Souza J. P., Smith J. M., Winikoff B., Thapa K., Hebert E., Liljestrand J., Downe S., Elorrio E. G., Arulkumaran S., Byaruhanga E. K., Lissauer D. M., Ogutu M., Dumont Alexandre, Escobar M. F., Fuchtner C., Lumbiganon P., Burke T. F., Miller S.
Source
International Journal of Gynecology and Obstetrics, 2020,
148 (3), 290-299 ISSN 0020-7292
Objective To systematically develop evidence-based bundles for care of postpartum hemorrhage (PPH). Methods An international technical consultation was conducted in 2017 to develop draft bundles of clinical interventions for PPH taken from the WHO's 2012 and 2017 PPH recommendations and based on the validated "GRADE Evidence-to-Decision" framework. Twenty-three global maternal-health experts participated in the development process, which was informed by a systematic literature search on bundle definitions, designs, and implementation experiences. Over a 6-month period, the expert panel met online and via teleconferences, culminating in a 2-day in-person meeting. Results The consultation led to the definition of two care bundles for facility implementation. The "first response to PPH bundle" comprises uterotonics, isotonic crystalloids, tranexamic acid, and uterine massage. The "response to refractory PPH bundle" comprises compressive measures (aortic or bimanual uterine compression), the non-pneumatic antishock garment, and intrauterine balloon tamponade (IBT). Advocacy, training, teamwork, communication, and use of best clinical practices were defined as PPH bundle supporting elements. Conclusion For the first response bundle, further research should assess its feasibility, acceptability, and effectiveness; and identify optimal implementation strategies. For the response to refractory bundle, further research should address pending controversies, including the operational definition of refractory PPH and effectiveness of IBT devices.
Plan de classement
Santé : généralités [050]
Description Géographique
MONDE
Localisation
Fonds IRD [F B010077739]
Identifiant IRD
fdi:010077739
