[Updates in Postpartum haemorrhage management]

Postpartum haemorrhage (PPH) remains a leading cause of maternal mortality. The 2022 Trinational Guidelines recommend the early detection of PPH and standardised haemostatic management, including the systematic administration of tranexamic acid, targeted correction of fibrinogen and substitution with factor XIII. The transfusion strategy should be sequential and individualised. Among mechanical interventions, intrauterine vacuum tamponade has emerged as an effective alternative to invasive procedures by enhancing myometrial contraction. Chitin-based haemostatic dressings are easy to use and remain effective even in the presence of coagulopathy. However, their efficacy still requires confirmation in controlled clinical trials.