{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1360580240150627200.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1002/ijgo.13028"}},{"identifier":{"@type":"URI","@value":"https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijgo.13028"}},{"identifier":{"@type":"URI","@value":"https://onlinelibrary.wiley.com/doi/full-xml/10.1002/ijgo.13028"}},{"identifier":{"@type":"URI","@value":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1002/ijgo.13028"}}],"dc:title":[{"@value":"Postpartum hemorrhage care bundles to improve adherence to guidelines: A <scp>WHO</scp> technical consultation"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To systematically develop evidence‐based bundles for care of postpartum hemorrhage (<jats:styled-content style=\"fixed-case\">PPH</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>An international technical consultation was conducted in 2017 to develop draft bundles of clinical interventions for <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> taken from the <jats:styled-content style=\"fixed-case\">WHO</jats:styled-content>'s 2012 and 2017 <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> recommendations and based on the validated “<jats:styled-content style=\"fixed-case\">GRADE</jats:styled-content> Evidence‐to‐Decision” framework. Twenty‐three global maternal‐health experts participated in the development process, which was informed by a systematic literature search on bundle definitions, designs, and implementation experiences. Over a 6‐month period, the expert panel met online and via teleconferences, culminating in a 2‐day in‐person meeting.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The consultation led to the definition of two care bundles for facility implementation. The “first response to <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> bundle” comprises uterotonics, isotonic crystalloids, tranexamic acid, and uterine massage. The “response to refractory <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> bundle” comprises compressive measures (aortic or bimanual uterine compression), the non‐pneumatic antishock garment, and intrauterine balloon tamponade (<jats:styled-content style=\"fixed-case\">IBT</jats:styled-content>). Advocacy, training, teamwork, communication, and use of best clinical practices were defined as <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> bundle supporting elements.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>For the first response bundle, further research should assess its feasibility, acceptability, and effectiveness; and identify optimal implementation strategies. For the response to refractory bundle, further research should address pending controversies, including the operational definition of refractory <jats:styled-content style=\"fixed-case\">PPH</jats:styled-content> and effectiveness of <jats:styled-content style=\"fixed-case\">IBT</jats:styled-content> devices.</jats:p></jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1380580240150627083","@type":"Researcher","foaf:name":[{"@value":"Fernando Althabe"}],"jpcoar:affiliationName":[{"@value":"Department of Mother and Child Health Institute for Clinical Effectiveness and Health Policy  Buenos Aires Argentina"},{"@value":"Department of Reproductive Health and Research WHO  Geneva Switzerland"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627088","@type":"Researcher","foaf:name":[{"@value":"Michelle N.S. Therrien"}],"jpcoar:affiliationName":[{"@value":"Safe Motherhood Program University of California  San Francisco CA USA"},{"@value":"HERHealthEQ  New York NY USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627203","@type":"Researcher","foaf:name":[{"@value":"Veronica Pingray"}],"jpcoar:affiliationName":[{"@value":"Department of Mother and Child Health Institute for Clinical Effectiveness and Health Policy  Buenos Aires Argentina"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627082","@type":"Researcher","foaf:name":[{"@value":"Jorge Hermida"}],"jpcoar:affiliationName":[{"@value":"Quality Performance Institute University Research Co., LLC  Chevy Chase MD USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627073","@type":"Researcher","foaf:name":[{"@value":"Ahmet M. Gülmezoglu"}],"jpcoar:affiliationName":[{"@value":"Department of Reproductive Health and Research WHO  Geneva Switzerland"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627087","@type":"Researcher","foaf:name":[{"@value":"Deborah Armbruster"}],"jpcoar:affiliationName":[{"@value":"Maternal and Newborn Division USAID Global Health Bureau  Washington DC USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627204","@type":"Researcher","foaf:name":[{"@value":"Neelima Singh"}],"jpcoar:affiliationName":[{"@value":"Department of Mother and Child Welfare Indian Institute of Health and Family Welfare  Hyderabad India"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627089","@type":"Researcher","foaf:name":[{"@value":"Moytrayee Guha"}],"jpcoar:affiliationName":[{"@value":"Division of Global Health and Human Rights Massachusetts General Hospital  Boston MA USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627072","@type":"Researcher","foaf:name":[{"@value":"Lorraine F. Garg"}],"jpcoar:affiliationName":[{"@value":"Division of Global Health and Human Rights Massachusetts General Hospital  Boston MA USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627084","@type":"Researcher","foaf:name":[{"@value":"Joao P. Souza"}],"jpcoar:affiliationName":[{"@value":"Department of Reproductive Health and Research WHO  Geneva Switzerland"},{"@value":"Universidade de São Paulo  São Paulo Brazil"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627077","@type":"Researcher","foaf:name":[{"@value":"Jeffrey M. Smith"}],"jpcoar:affiliationName":[{"@value":"Jhpiego  Baltimore MD USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627074","@type":"Researcher","foaf:name":[{"@value":"Beverly Winikoff"}],"jpcoar:affiliationName":[{"@value":"Gynuity  New York NY USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627078","@type":"Researcher","foaf:name":[{"@value":"Kusum Thapa"}],"jpcoar:affiliationName":[{"@value":"Maternal Child Survival Program and Maternal Health Jhpiego  Washington DC USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627200","@type":"Researcher","foaf:name":[{"@value":"Emmanuelle Hébert"}],"jpcoar:affiliationName":[{"@value":"International Confederation of Midwives  Montréal QC Canada"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627079","@type":"Researcher","foaf:name":[{"@value":"Jerker Liljestrand"}],"jpcoar:affiliationName":[{"@value":"Bill and Melinda Gates Foundation  Seattle WA USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627205","@type":"Researcher","foaf:name":[{"@value":"Soo Downe"}],"jpcoar:affiliationName":[{"@value":"Research in Childbirth and Health Group University of Central Lancashire  Preston UK"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627085","@type":"Researcher","foaf:name":[{"@value":"Ezequiel Garcia Elorrio"}],"jpcoar:affiliationName":[{"@value":"Department of Quality and Safety in Healthcare Institute for Clinical Effectiveness and Health Policy  Buenos Aires Argentina"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627086","@type":"Researcher","foaf:name":[{"@value":"Sabaratnam Arulkumaran"}],"jpcoar:affiliationName":[{"@value":"Division of Obstetrics & Gynaecology St George's University of London  London UK"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627081","@type":"Researcher","foaf:name":[{"@value":"Emmanuel K. Byaruhanga"}],"jpcoar:affiliationName":[{"@value":"Department of Obstetrics & Gynecology Martyr's Hospital Ministry of Health  Ibanda Uganda"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627202","@type":"Researcher","foaf:name":[{"@value":"David M. Lissauer"}],"jpcoar:affiliationName":[{"@value":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627090","@type":"Researcher","foaf:name":[{"@value":"Monica Oguttu"}],"jpcoar:affiliationName":[{"@value":"Kisumu Medical and Education Trust  Kisumu Kenya"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627080","@type":"Researcher","foaf:name":[{"@value":"Alexandre Dumont"}],"jpcoar:affiliationName":[{"@value":"Research Institute for Sustainable Development CEPED  Paris France"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627076","@type":"Researcher","foaf:name":[{"@value":"Maria F. Escobar"}],"jpcoar:affiliationName":[{"@value":"Department of Gynecology and Obstetrics Fundacion Valle del Lili  Cali Colombia"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627075","@type":"Researcher","foaf:name":[{"@value":"Carlos Fuchtner"}],"jpcoar:affiliationName":[{"@value":"FIGO  Viador Pinto Bolivia"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627206","@type":"Researcher","foaf:name":[{"@value":"Pisake Lumbiganon"}],"jpcoar:affiliationName":[{"@value":"Department of Obstetrics and Gynecology Faculty of Medicine Khon Kaen University  Khon Kaen Thailand"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627091","@type":"Researcher","foaf:name":[{"@value":"Thomas F. Burke"}],"jpcoar:affiliationName":[{"@value":"Division of Global Health and Human Rights Massachusetts General Hospital  Boston MA USA"},{"@value":"T.H. Chan School of Public Health, and HSPH Department of Global Health and Population  Harvard Boston MA USA"}]},{"@id":"https://cir.nii.ac.jp/crid/1380580240150627201","@type":"Researcher","foaf:name":[{"@value":"Suellen Miller"}],"jpcoar:affiliationName":[{"@value":"Safe Motherhood Program University of California  San Francisco CA USA"},{"@value":"Department of Obstetrics, Gynecology & Reproductive Sciences Bixby Center for Global Reproductive Health and Policy University of California, San Francisco (UCSF)  San Francisco CA USA"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00207292"},{"@type":"EISSN","@value":"18793479"}],"prism:publicationName":[{"@value":"International Journal of Gynecology & Obstetrics"}],"dc:publisher":[{"@value":"Wiley"}],"prism:publicationDate":"2019-12-23","prism:volume":"148","prism:number":"3","prism:startingPage":"290","prism:endingPage":"299"},"reviewed":"false","dc:rights":["http://creativecommons.org/licenses/by/4.0/"],"url":[{"@id":"https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijgo.13028"},{"@id":"https://onlinelibrary.wiley.com/doi/full-xml/10.1002/ijgo.13028"},{"@id":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1002/ijgo.13028"}],"createdAt":"2019-11-11","modifiedAt":"2023-09-07","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1050578514828195072","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Impact of efforts to prevent maternal deaths due to obstetric hemorrhage on trends in epidemiology and management of severe postpartum hemorrhage in Japan: a nationwide retrospective study"},{"@value":"Impact of efforts to prevent maternal deaths due to obstetric haemorrhage on trends in epidemiology and management of severe postpartum haemorrhage in Japan: a nationwide retrospective study"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1002/ijgo.13028"},{"@type":"CROSSREF","@value":"10.1186/s12884-022-04824-7_references_DOI_4Kz3CXVRmP7mlRhoOL6yTyB2UDW"}]}