Interpretation
It is anticipated that these algorithms will guide practice in managing third stage abnormalities, in particular PPH, and ensure the correct approach is followed and important details are not neglected. Adapting them to mobile phone technology with a built-in advice system from higher levels of care should strengthen the use of the algorithms. Further developments of this process should recognise the need to (a) incorporate referral systems into the algorithms since maternity care in LMICs is organised around levels of care5, starting at community based facilities (Primary level care), referral hospitals (Secondary level care) and regional/academic hospitals (Tertiary level care), and (b) consider management of third stage abnormalities following birth at home or in primary care clinics which was not considered in the present work. This will depend on the developement of appropriate content for these settings and the availability of adequate mobile network coverage and device access to care providers. It is important that the algorithms are field tested with feedback from users, to identify problems of interpretation, feasibility and other barriers to impemenation