The daily-practiced post-partum hemorrhage management: an Italian multidisciplinary attended protocol

Area of Science:

• Obstetrics and Gynecology
• Maternal Health
• Clinical Management

Background:

• Postpartum hemorrhage (PPH) is a significant global cause of maternal mortality and morbidity.
• Current PPH management strategies lack standardized evidence-based guidelines.
• There is a critical need for updated, practical protocols to address this obstetric emergency.

Purpose of the Study:

• To develop a comprehensive, multidisciplinary clinical protocol for the management of postpartum hemorrhage.
• To synthesize existing therapeutic strategies into a unified, actionable guideline.
• To support clinicians in managing complex PPH cases effectively.

Main Methods:

• A literature review was conducted to identify current PPH management practices.
• A multidisciplinary Italian task group of specialists was convened.
• A modified Delphi method was employed to reach consensus on the protocol.

Main Results:

• The protocol integrates operational treatment protocols from various specialties involved in PPH care.
• It represents a synthesis of expert opinions and best practices.
• The developed protocol aims to standardize PPH management.

Conclusions:

• The proposed protocol offers a practical framework for clinicians facing PPH.
• Effective PPH management requires a multidisciplinary team approach.
• This guideline addresses the need for evidence-based support in managing postpartum hemorrhage.