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This review aims to synthesize current guidelines and evidence for managing obstetric and gynecologic hemorrhage.

May 13, 2026Open Access

Management of obstetric and gynecologic hemorrhage: a narrative review of current guidelines and evidence.

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Narrative review evaluates treatment strategies for hemorrhage in obstetrics and gynecology, suggesting better individualized care.

This review aims to synthesize current guidelines and evidence for managing obstetric and gynecologic hemorrhage.
Conducted as a structured narrative review using systematic search principles.
Literature search was performed in PubMed, Scopus, and Web of Science for studies from January 2020 to January 2026.
Included 32 studies from 1,248 identified records, focusing on international guidelines and relevant clinical evidence.
Strong agreement on the early use of uterotonics, especially oxytocin, as first-line therapy for postpartum hemorrhage.
Restrictive transfusion strategies are recommended for stable patients, while active bleeding cases should prioritize clinical status.
Acute abnormal uterine bleeding treatment emphasizes antifibrinolytic and hormonal therapies.

Ichim et al. (2026) studied this question.

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