WHO Releases New Guidelines To Overcome Bleeding After Childbirth

JAKARTA - post-born bleeding (PPH) is still one of the main causes of maternal mortality. PPH affects millions of women every year and causes nearly 45 thousand deaths.

This causes PPH to become one of the main causes of maternal mortality globally. Although it does not cause death, this condition can even have an impact on the mother's physical and mental health for life.

"The post-laboration bleeding is the most dangerous childbirth complication because it can increase at an alarming pace," said Assistant Director General for Health and Disease Prevention and Treatment Promotion, Dr. Jeremy Farrar, quoted from the World Health Organization (WHO)'s official website, on Monday, October 6, 2025.

Therefore, the WHO together with the International Gynecologist and Obstetric Federation (FIGO) and the International Midwives Confederation (ICM) released new guidelines to help deal with post-born bleeding in mothers.

These guidelines are designed to maximize the impact where the load is the highest and the resources are the most limited, to ensure more women survive childbirth and can return home safely, he added.

Many PPHs occur without identifiable risk factors, which make the importance of early detection and rapid response. Usually PPH has been diagnosed as blood loss at 500 ml or more, but with new guidelines, doctors recommend to act when blood loss has reached 300 ml.

To diagnose PPH earlier, doctors and midwives are also advised to closely monitor women after giving birth, use a simple device to measure lost blood, so they can act immediately if the criteria are appropriate.

New guidelines for overcoming PPH from several world health institutions are formulated in several ways, as follows.

- Massaging uterines- The use of oxic drugs to stimulate contracting-Eastam transexam (TXA) to reduce bleeding- Intravenous Fluid- Vagian examination and genital tract- Improved treatment if bleeding continues

In rare cases, where bleeding continues, guidelines recommend effective intervention. Such as surgery or blood transfusions, to stabilize women's condition safely until further treatment is available.

Women affected by PPH require rapid, feasible, effective care, and drive progress towards the elimination of death related to PPH. This guide takes a proactive approach from readiness, recognition and response," concluded FIGO President Professor Anneten Kihara.