Society guideline links: Obstetric hemorrhage

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

International

●International Federation of Gynecology and Obstetrics (FIGO): Recommendations on the management of postpartum hemorrhage (2022)

●International Society of Ultrasound in Obstetrics and Gynecology (ISUOG): Hypogastric artery ligation in the management of postpartum hemorrhage (2019)

●ISUOG: Point of care ultrasound for fluid assessment and management in a pre-eclamptic patient with postpartum hemorrhage (2019)

●FIGO: Consensus guidelines on placenta accreta spectrum disorders (2018)

●World Health Organization (WHO): Recommendations on uterotonics for the prevention of postpartum haemorrhage, update (2018)

●WHO: Updated recommendation on tranexamic acid for the treatment of postpartum haemorrhage (2017)

●FIGO: Guidelines for non-pneumatic anti-shock garment to stabilize women with hypovolemic shock secondary to obstetric hemorrhage (2015)

●International Confederation of Midwives (ICM) and FIGO: Joint statement on the use of misoprostol for the treatment of postpartum haemorrhage (2014)

Canada

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Guideline on postpartum hemorrhage and hemorrhagic shock (2022)

United States

●American College of Obstetricians and Gynecologists (ACOG): Committee opinion on quantitative blood loss in obstetric hemorrhage (2019, reaffirmed 2022)

●Society for Maternal-Fetal Medicine (SMFM): Choosing Wisely – Don't do an inherited thrombophilia evaluation for women with histories of pregnancy loss, fetal growth restriction (FGR), preeclampsia and abruption (2022)

●ACOG and SMFM: Obstetric care consensus on placenta accreta spectrum (2018, reaffirmed 2021)

●American College of Radiology (ACR): Appropriateness Criteria on postpartum hemorrhage (2020)

●ACR: Appropriateness Criteria on second and third trimester vaginal bleeding (revised 2020)

●ACOG: Practice bulletin on postpartum hemorrhage (2017)

●SMFM: Consult series for the management of bleeding in the late preterm period (2017)

●American Society of Anesthesiologists (ASA) and Society for Obstetric Anesthesia and Perinatology (SOAP): Practice guidelines for obstetric anesthesia, an updated report (2016)

●ASA: Practice guidelines for perioperative blood management, an updated report (2015)

Europe

●Consensus among European experts on the role of recombinant factor VIIa in the clinical management of severe postpartum hemorrhage (2024)

●European Society of Anaesthesiology and Intensive Care (ESAIC): Guidelines for management of severe peri-operative bleeding, 2022 second update (published 2023)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Intrapartum care for women with existing medical conditions or obstetric complications and their babies (2019)

●British Society for Haematology (BSH): Guideline for the use of viscoelastic haemostatic assays in the management of major bleeding (2018)

●Royal College of Obstetricians and Gynaecologists (RCOG): Green-top guideline on placenta praevia and placenta accreta − Diagnosis and management (2018)

●RCOG: Green-top guideline for the prevention and management of postpartum haemorrhage (2016)

●RCOG: Green-top guideline on blood transfusion in obstetrics (2015)

●RCOG: Green-top guideline on antepartum haemorrhage (2011)

Australia–New Zealand

●Queensland Health: Maternity and neonatal clinical guideline on primary postpartum haemorrhage (PPH) (2024)

●Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): Clinical guideline on placenta accreta spectrum (PAS) (2023)

●RANZCOG: Clinical guidance statement for the management of postpartum haemorrhage (PPH) (2021)

●Australian Haemophilia Centre Directors' Organisation (AHCDO): Updated Australian consensus statement on management of inherited bleeding disorders in pregnancy (2019)

●National Blood Authority (NBA): Patient blood management guidelines – Module on obstetrics and maternity (2015)

Japan

●[In Japanese] Japanese Society of Anesthesiologists (JSA): Guidelines for management of critical bleeding in obstetrics (2017)

●[In English] Japanese Society of Interventional Radiology (JSIR): Procedural guidelines on interventional radiology for critical hemorrhage in obstetrics (2015)