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

Dietmar Schlembach; Thorsten Annecke; Thierry Girard; Hanns Helmer; Franz Kainer; Sven Kehl; Wolfgang Korte; Maritta Kühnert; Heiko Lier; Silke Mader; Andreas Mahnken; Holger Maul; Georg Pfanner; Andrea Ramsell; Daniel Surbek; Oliver Tiebel; Laura Zinßer; Christian von Heymann

doi:10.1055/a-2073-9615

Geburtshilfe und Frauenheilkunde, Table of Contents

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

¹Klinik für Geburtsmedizin, Vivantes Klinikum Neukölln, Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany

,

Thorsten Annecke

²Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum Köln-Merheim, Universität Witten/Herdecke – Köln, Köln, Germany

,

Thierry Girard

³Klinik für Anästhesiologie, Universitätsspital Basel, Basel, Switzerland

,

Hanns Helmer

⁴Abteilung für Geburtshilfe und feto-maternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Austria

,

Franz Kainer

⁵Abteilung für Geburtshilfe und Pränatalmedizin, Klinik Hallerwiese, Nürnberg, Germany

,

Sven Kehl

⁶Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany

,

Wolfgang Korte

⁷Hämostase- und Hämophilie-Zentrum, Zentrum für Labormedizin, St.Gallen, Switzerland

,

Maritta Kühnert

⁸Klinik für Frauenheilkunde und Geburtshilfe, UKGM Universitätsklinikum Marburg, Marburg, Germany

,

Heiko Lier

⁹Medizinische Fakultät und Uniklinik Köln, Klinik für Anästhesiologie und Operative Intensivmedizin, Universität zu Köln, Köln, Germany

,

Silke Mader

¹⁰European Foundation for the Care of Newborn Infants (EFCNI), München, Germany

,

Andreas Mahnken

¹¹Klinik für Diagnostische und Interventionelle Radiologie, UKGM Universitätsklinikum Marburg, Marburg, Germany

,

Holger Maul

¹²Asklepios Frauenkliniken Barmbek, Nord/Heidberg und Wandsbek, Hamburg, Germany

,

Georg Pfanner

¹³Anästhesie und Intensivmedizin, Landeskrankenhaus Feldkirch, Vorarlberger Landeskrankenhäuser, Feldkirch, Austria

,

Andrea Ramsell

¹⁴Deutscher Hebammenverband e. V., Berlin, Germany

,

Daniel Surbek

¹⁵Geburtshilfe und Feto-maternale Medizin, Universitätsklinik für Frauenheilkunde, Inselspital, Universität Bern, Bern, Switzerland

,

Oliver Tiebel

¹⁶Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsklinikum Carl Gustav Carus, Dresden, Germany

,

Laura Zinßer

¹⁷Medizinische Hochschule Hannover, Forschungs- und Lehreinheit Hebammenwissenschaft, Hannover, Germany

,

Christian von Heymann

¹⁸Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Vivantes Klinikum im Friedrichshain, Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany

› Author Affiliations

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

Full Text

References

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