Geburtshilfe Frauenheilkd 2023; 83(12): 1446-1490
DOI: 10.1055/a-2073-9615
GebFra Science
Guideline/Leitlinie

Peripartum Haemorrhage, Diagnosis and Therapy. Guideline of the DGGG, OEGGG and SGGG (S2k, AWMF Registry No. 015-063, August 2022)

Article in several languages: English | deutsch
Dietmar Schlembach
1   Klinik für Geburtsmedizin, Vivantes Klinikum Neukölln, Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany
,
Thorsten Annecke
2   Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum Köln-Merheim, Universität Witten/Herdecke – Köln, Köln, Germany
,
Thierry Girard
3   Klinik für Anästhesiologie, Universitätsspital Basel, Basel, Switzerland
,
Hanns Helmer
4   Abteilung für Geburtshilfe und feto-maternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Austria
,
Franz Kainer
5   Abteilung für Geburtshilfe und Pränatalmedizin, Klinik Hallerwiese, Nürnberg, Germany
,
Sven Kehl
6   Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany
,
Wolfgang Korte
7   Hämostase- und Hämophilie-Zentrum, Zentrum für Labormedizin, St.Gallen, Switzerland
,
Maritta Kühnert
8   Klinik für Frauenheilkunde und Geburtshilfe, UKGM Universitätsklinikum Marburg, Marburg, Germany
,
Heiko Lier
9   Medizinische Fakultät und Uniklinik Köln, Klinik für Anästhesiologie und Operative Intensivmedizin, Universität zu Köln, Köln, Germany
,
Silke Mader
10   European Foundation for the Care of Newborn Infants (EFCNI), München, Germany
,
Andreas Mahnken
11   Klinik für Diagnostische und Interventionelle Radiologie, UKGM Universitätsklinikum Marburg, Marburg, Germany
,
Holger Maul
12   Asklepios Frauenkliniken Barmbek, Nord/Heidberg und Wandsbek, Hamburg, Germany
,
Georg Pfanner
13   Anästhesie und Intensivmedizin, Landeskrankenhaus Feldkirch, Vorarlberger Landeskrankenhäuser, Feldkirch, Austria
,
Andrea Ramsell
14   Deutscher Hebammenverband e. V., Berlin, Germany
,
Daniel Surbek
15   Geburtshilfe und Feto-maternale Medizin, Universitätsklinik für Frauenheilkunde, Inselspital, Universität Bern, Bern, Switzerland
,
Oliver Tiebel
16   Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsklinikum Carl Gustav Carus, Dresden, Germany
,
Laura Zinßer
17   Medizinische Hochschule Hannover, Forschungs- und Lehreinheit Hebammenwissenschaft, Hannover, Germany
,
Christian von Heymann
18   Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Vivantes Klinikum im Friedrichshain, Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany
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Abstract

Aim This official guideline was coordinated and published by the German Society of Gynaecology and Obstetrics (DGGG). The guideline aims to provide a consensus-based overview of the diagnosis and management of peripartum bleeding based on an evaluation of the relevant literature.

Methods This S2k-guideline was developed by representative members from different medical professions on behalf of the guidelines commission of the DGGG, OEGGG and SGGG using a structured consensus process.

Recommendations Recommendations for the definition, risk stratification, prevention, treatment (general emergency procedures, medications, uterine tamponade, surgical measures, interventional-radiological procedures, haemostasis, and coagulation management), transportation, documentation and debriefing as well as training are presented. In addition, a PPH algorithm for action, “PPH 2022”, is recommended.

Key words

postpartum haemorrhage - postpartum bleeding - placenta accreta spectrum - PPH algorithm - uterotonic drugs - tranexamic acid - tamponade - surgical procedures - compression sutures - embolization - haemostasis and coagulation management - anaesthetic management - autotransfusion


Publication History

Received: 06 April 2023

Accepted: 09 April 2023

Article published online:
28 June 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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