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

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. Zusammenfassung Ziel Das Ziel dieser offiziellen Leitlinie, die von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG) publiziert und koordiniert wurde, ist es, durch die Evaluation der relevanten Literatur einen konsensbasierten Überblick über die Diagnostik und das Management der peripartalen Blutung zu geben. Methoden Diese S2k-Leitlinie wurde durch einen strukturierten Konsens von repräsentativen Mitgliedern verschiedener Professionen im Auftrag des Leitlinienprogramms der DGGG, OEGGG und SGGG entwickelt. Empfehlungen Es werden Empfehlungen zur Definition, Risikostratifizierung, Prävention, Therapie (allgemeine Notfallmaßnahmen, medikamentös, Uterustamponade, operative Maßnahmen, interventionell-radiologische Maßnahmen, Hämostase und Gerinnungsmanagement), Transport, Dokumentation und Nachbesprechung sowie Training gegeben. Zusätzlich wird ein PPH-Handlungsalgorithmus „PPH 2022“ empfohlen.

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