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Cochrane for Clinicians

Accuracy of Methods Used to Diagnose Postpartum Hemorrhage in the First 24 Hours After Vaginal Birth

Meera Sunder, MD, FAAFP,
Cambridge Health Alliance, Cambridge, Massachusetts; Harvard Medical School, Boston, Massachusetts

American Family Physician. 2026;113(3):218-219.

Author disclosure: No relevant financial relationships.

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

  1. 1.Yunas I, Gallos ID, Devall AJ, et al. Tests for diagnosis of postpartum haemorrhage at vaginal birth. Cochrane Database Syst Rev. 2025(1):CD016134.
  2. 2.Committee on Practice Bulletins–Obstetrics. Practice Bulletin No. 183: Postpartum hemorrhage. Obstet Gynecol. 2017;130(4):e168-e186.
  3. 3.World Health Organization, The Global Health Observatory. Maternal deaths. Accessed January 14, 2026. https://www.who.int/data/gho/indicator-metadata-registry/imr-details/4622
  4. 4.World Health Organization. A roadmap to combat postpartum haemorrhage between 2023 and 2030. Published 2023. Accessed January 14, 2026. https://www.who.int/publications/i/item/9789240081802
  5. 5.Demissie DB, Kaura DK, Gebhardt S. Global burden, disparities, and determinants of postpartum haemorrhage among women who gave birth: an umbrella review of systematic reviews and meta-analyses. Front Reprod Health. 2025;7:1721550.
  6. 6.Bienstock JL, Eke AC, Hueppchen NA. Postpartum hemorrhage. N Engl J Med. 2021;384(17):1635-1645.
  7. 7.Prevention and management of postpartum haemorrhage: Green-top guideline no. 52. BJOG. 2017;124(5):e106-e149.
  8. 8.World Health Organization. WHO recommendations on the assessment of postpartum blood loss and use of a treatment bundle for postpartum haemorrhage. Published 2023. Accessed January 14, 2026. https://iris.who.int/bitstream/handle/10665/375198/9789240085411-eng.pdf

These are summaries of reviews from the Cochrane Library.

This series is coordinated by Corey D. Fogleman, MD, assistant medical editor.

A collection of Cochrane for Clinicians published in AFP is available at https://www.aafp.org/afp/cochrane.

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