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.