AOFOG recommendation on postpartum hemorrhage care bundle approach to improve adherence to the WHO guidelines

Global maternal mortality estimates 287 000 deaths in 2020. Obstetric hemorrhage is a leading cause contributing to 27% of all maternal deaths. The Asia Oceania Federation of Obstetrics and Gynaecology (AOFOG) recommendation aims to reduce the postpartum hemorrhagic deaths with the use of a care bundle approach published by the World Health Organization in the Asia Oceania region. The care bundle approach has been shown to reduce the risk of the primary outcome, a composite of severe postpartum hemorrhage, laparotomy for bleeding, or death from bleeding, compared to usual care among patients having vaginal delivery. In a large, international, parallel cluster-randomized trial, the E-MOTIVE trial. The AOFOG recommends the care bundle approach on postpartum hemorrhage to improve adherence to the World Health Organization guidelines in achieving reduction of morbidity and mortality in maternal death with postpartum hemorrhage.