Strenghts and limitations
The strengths of the process were the design of a detailed algorithm
with a systematic standardised methodology using the best available
evidence, which can be adapted to Artificial Intelligence. Previous
algorithms (SA, RCOG, FIGO) have broad channels of action lists but do
not indicate exactly when and in what circumstances a particular action
should be taken.
The challenges and limitations in the algorithm development process
includes the lack of evidence for specific components and over-reliance
on guidance / expert opinion as sources. In particular, there was a lack
of evidence for ordering of interventions and a comprehensive package of
care for PPH. These issues were partially resolved by discussions within
the SELMA group and peer review.