Conclusion
This composite PPH algorithm arising from the third stage algorithm, is
designed to enable early identification of the 4 case scenarios (PPH
after NVD, Uterine atony, Genital tract trauma and Retained
placenta/plancental products) and facilitate clear approaches to
assessment, monitoring, resuscitation and treatment. There is a need for
field testing their applicability in the settings they were developed
for, with further content development so that clinical practice may be
improved. Further research is needed around the evaluation of a
sequential multi modal package of care for PPH, conservative surgical
measures, resuscitation in low resource settings and the psychological
impact of PPH for women.