In 2023, the World Health Organization (WHO) convened a Guideline Development Group to update an existing recommendation on assessing postpartum haemorrhage (PPH) and consider using a care bundle to treat PPH. This decision was based on new evidence on the subject that had become available. This document issues an updated recommendation on the assessment of PPH and a new recommendation on the use of a treatment bundle for the management of PPH.


  • Recommendations of objective measurement of postpartum blood loss to improve the detection and treatment of PPH in women experiencing vaginal birth.
  • Recommendation of a standardized and timely approach to PPH management, consisting of objective quantification of blood loss and a treatment care bundle, supported by an implementation strategy in women experiencing vaginal birth.

How to Use

The primary audience for this document includes health-care professionals responsible for developing national and local health-care protocols and policies, as well as managers of maternal and child health programmes, and policy-makers in all settings. The recommendations will also be useful to those health workers directly providing care to women giving birth, such as obstetricians, midwives, nurses and general practitioners.