新的全球准则将产后出血诊断阈值降低到300毫升的血液损失,促进早期治疗和预防。
New global guidelines lower postpartum hemorrhage diagnosis threshold to 300 mL blood loss, promoting early treatment and prevention.
全球卫生组织发布了经更新的防治产后出血(PPH)指导方针,这是产妇死亡的主要原因之一,每年有近45 000人死亡。
Global health organizations have released updated guidelines to combat postpartum hemorrhage (PPH), a leading cause of maternal death, with nearly 45,000 deaths annually.
根据迄今最大研究提出的新建议,将诊断PPH值的阈值降低到300毫升的失血或异常生命迹象,敦促及早干预。
The new recommendations, based on the largest study to date, lower the threshold for diagnosing PPH to 300 mL of blood loss or abnormal vital signs, urging earlier intervention.
它们推广"MOTIVE包"测量血流,施用子宫激活剂,使用酸,并在需要时加强护理,并强调通过产前补充铁和避免常规表皮切割来预防.
They promote the "MOTIVE bundle"—measuring blood loss, administering uterotonics, using tranexamic acid, and escalating care when needed—and emphasize prevention through antenatal iron supplementation and avoiding routine episiotomies.
这些指南支持在资源不足地区使用弥苏,并呼吁加强助产和卫生系统,这是2023-2030年PPH全球路线图的一部分,该路线图于2025年在开普敦举行的FIGO世界大会上发布.
The guidelines support misoprostol use in low-resource areas and call for stronger midwifery and health systems, part of the Global Roadmap for PPH 2023–2030, launched at the 2025 FIGO World Congress in Cape Town.