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.