Title: KSUMC Evidence-Based Clinical Practice Guideline for Postpartum Hemorrhage
Edition: Adapted
Classification: Standard guideline
Field: Comprehensive guideline
Countries and regions: Saudi Arabia
Guidelines users: o Physicians: obstetricians, obstetric anesthesiologists, surgeons (vascular), interventional radiologists o Nurses: OBGYNE and Operative Room o Clinical Pharmacists: OBGYNE o Allied health professionals: Transfusion Medicine and Blood bank, laboratory technicians
Evidence classification method: The description of the methodology for the production of this adapted CPG can be fulfilled by utilizing the "King Saud University (KSU) Modified ADAPTE method". This CPG formal adaptation method included three phases (setup, adaptation, and finalization), nine modules, and 24 steps with modifications in the steps and tools to suit the local general healthcare setting in Saudi Arabia. Overall, the steps of CPG adaptation included: the selection of the health topic, formulation of the CPG adaptation working group, identification of health questions using the PIPOH model, searching and selecting Source CPGs with clear inclusion and exclusion criteria, quality assessment of included Source CPGs by using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument, assessment of the currency of the selected Source CPG, drafting of the adapted CPG, external review and consultation process, finalization of the adapted CPG with a set of implementation tools, declaration of conflicts of interests, and finally a plan for review and update. For further details on the specific modifications in steps and tools, refer to the article by Amer et al. 2019 (https://doi.org/10.1111/jep.12927).
Development unit: KSUMC
Registration time: 2024-07-03
Registration number: PREPARE-2024CN616
Purpose of the guideline: To provide healthcare providers with standardized, evidence-based recommendations for the prevention, early recognition, and effective management of this critical obstetric complication. This guideline also supports continuous training and education for healthcare professionals, enabling them to confidently and competently manage PPH thereby contributing to reduced maternal morbidity and mortality at KSUMC. The following is out of the scope of this guideline: the management of antepartum hemorrhage, the prevention and management of PPH related to placenta previa and placenta previa accreta, and the appropriate use of blood and blood products in obstetric practice.