Tackling Postpartum Haemorrhage: WHO Calls for Faster Action

Every two minutes, a woman dies from complications related to childbirth—and in most cases, the cause is postpartum hemorrhage (PPH).

The World Health Organization (WHO) has now issued new global guidelines urging earlier detection and faster treatment to prevent these avoidable deaths.
The message is clear: every drop counts when it comes to saving a mother’s life.

🌍 Why This Update Matters

PPH—defined as excessive bleeding after delivery—remains the leading cause of maternal mortality worldwide, responsible for nearly 70,000 deaths each year.

But here’s the critical shift:
The WHO now recommends intervention at 300 mL of blood loss, lowering the threshold from the previous 500 mL.
This earlier trigger means clinicians and midwives can act before bleeding becomes critical.

These new recommendations were co-developed with the International Federation of Gynecology and Obstetrics (FIGO) and the International Confederation of Midwives (ICM)—highlighting the importance of collaboration between doctors, nurses, and birth attendants.

⚕️ What’s New in WHO’s Approach

The WHO guidelines emphasize three key pillars: early detection, rapid response, and coordinated care.

🩺 1. Early Detection

  • Use calibrated drapes or measuring tools to assess actual blood loss, not visual estimates.
  • Initiate intervention once 300 mL of bleeding is detected.

🧰 2. The MOTIVE Bundle—A Life-Saving Protocol

A new treatment checklist—MOTIVE—outlines immediate steps for managing PPH:

  • M – Massage the uterus
  • O – Oxytocic drugs to contract the uterus
  • T – Tranexamic acid (TXA) to prevent clot breakdown
  • I – Intravenous fluids for volume replacement
  • V – Vaginal and genital examination to locate bleeding sources
  • E – Escalate care to surgical intervention or transfusion if needed

💉 3. Managing Severe Cases

If bleeding continues despite MOTIVE care, surgical repair, balloon tamponade, or blood transfusions are recommended as part of a structured escalation plan.

🩹 Preventive Care During Pregnancy

The WHO also emphasizes antenatal prevention, especially in resource-limited regions where anemia increases maternal risk.

  • Iron and folic acid supplements should be given daily during pregnancy.
  • For severe anemia, intravenous iron therapy is recommended before delivery.
  • Close postpartum monitoring ensures early recognition of complications.

👩‍⚕️ Implications for Indian Doctors

In India, where maternal deaths remain a challenge in many districts, the updated WHO guidelines are both timely and transformative.

Doctors, midwives, and community health workers can:

  • Implement PPH readiness protocols in maternity wards and clinics.
  • Train staff on using calibrated drapes for accurate blood loss measurement.
  • Ensure TXA availability in all delivery units, even in rural areas.
  • Promote antenatal anemia screening as a routine preventive step.

By integrating these steps, India can move closer to achieving the WHO’s target of reducing maternal mortality to less than 70 per 100,000 live births.

🌐 How The Doctorpreneur Academy Supports the Change

At The Doctorpreneur Academy, doctors are not just treating patients — they’re leading the charge for system-level healthcare improvements.

Our members are:

  • Training healthcare teams to implement updated global protocols.
  • Creating digital awareness campaigns on maternal health and safe delivery.
  • Advocating for technology-based monitoring tools that improve accuracy and response time during childbirth.

Through continuous learning and digital empowerment, Doctorpreneur Academy doctors are bridging global standards with India’s ground realities.

💡 Final Takeaway

Postpartum hemorrhage is one of the most preventable causes of maternal death—yet it continues to claim thousands of lives every year.
With the WHO’s revised guidelines, early recognition and faster action can make the difference between life and loss.

Doctors, midwives, and policymakers must act together to ensure that every woman, everywhere, has access to safe childbirth care.

Inside The Doctorpreneur Academy, doctors are taking this mission forward—empowering others through education, leadership, and innovation.

👉 Doctor’s Action Step:
Share the MOTIVE protocol with your maternity care team today.
Early action saves mothers—and sets a new standard for maternal safety in every clinic and hospital. 💗

👉 To register for our next masterclass, please click here: https://linktr.ee/docpreneur