Bibliographic information

GuidelineConsolidated guidelines for the prevention, diagnosis and treatment of postpartum haemorrhage
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

New

Uterotonics that are not recommended for the prevention of postpartum haemorrhage. Injectable prostaglandins (carboprost or sulprostone) are not recommended for the prevention of postpartum haemorrhage

Not recommended

Notes and Remarks

  • Trials of systemic injectable prostaglandins for the prevention of PPH have used carboprost or sulprostone.
  • Local administration of injectable prostaglandins, such as intrauterine injections during caesarean section, was not considered.
  • This recommendation applies only to the use of injectable prostaglandins for the prevention of PPH; it does not relate to its use in the treatment of PPH, where it may still be considered as part of second-line management