WHO recommendation on the use of fluid replacement for the treatment of postpartum haemorrhage (PPH)

WHO recommendation on the use of fluid replacement for the treatment of postpartum haemorrhage (PPH)

Recommendation

The use of isotonic crystalloids is recommended in preference to the use of colloids for the initial intravenous fluid resuscitation of women with PPH.   

Strong recommendation, moderate quality evidence

 

Publication date: September 2012         

 

Evidence Base and GRADE tables for this recommendation

 

WHO recommendations for the prevention and treatment of postpartum haemorrhage

 

Link to the supporting systematic reviews

 

Alderson P, Bunn F, Li WP, Li LP, M., Roberts I, Schierhout G. Human albumin solution for resuscitation and volume expansion in critically ill patients. Cochrane Database Syst Rev. 2011

 

Perel P, Roberts I, Pearson M. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev. 2011

 

Resources

Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctor

 

Pregnancy, Childbirth, Postpartum and Newborn Care: A guide for essential practice

 

This recommendation should be cited as: WHO Reproductive Health Library. WHO recommendation on the use of fluid replacement for the treatment of postpartum haemorrhage (last revised 2012). The WHO Reproductive Health Library; Geneva: World Health Organization.