Leduc Dean, Senikas Vyta, Lalonde André B
Ottawa, ON.
J Obstet Gynaecol Can. 2018 Dec;40(12):e841-e855. doi: 10.1016/j.jogc.2018.09.024.
To review the clinical aspects of postpartum hemorrhage (PPH) and provide guidelines to assist clinicians in the prevention and management of PPH. These guidelines are an update from the previous Society of Obstetricians and Gynaecologists of Canada (SOGC) clinical practice guideline on PPH, published in April 2000.
Medline, PubMed, the Cochrane Database of Systematic Reviews, ACP Journal Club, and BMJ Clinical Evidence were searched for relevant articles, with concentration on randomized controlled trials (RCTs), systematic reviews, and clinical practice guidelines published between 1995 and 2007. Each article was screened for relevance and the full text acquired if determined to be relevant. Each full-text article was critically appraised with use of the Jadad Scale and the levels of evidence definitions of the Canadian Task Force on Preventive Health Care.
The quality of evidence was rated with use of the criteria described by the Canadian Task Force on Preventive Health Care.
The Society of Obstetricians and Gynaecologists of Canada.
Prevention of Postpartum HemorrhageTreatment of PPHRecommendations were quantified using the evaluation of evidence guidelines developed by the Canadian Task Force on Preventive Health Care (Table 1).
回顾产后出血（PPH）的临床情况，并提供指南以协助临床医生预防和处理PPH。这些指南是对加拿大妇产科医师协会（SOGC）2000年4月发布的关于PPH的先前临床实践指南的更新。
检索了Medline、PubMed、Cochrane系统评价数据库、美国内科医师学会杂志俱乐部和BMJ临床证据，以查找相关文章，重点关注1995年至2007年间发表的随机对照试验（RCT）、系统评价和临床实践指南。对每篇文章进行相关性筛选，若确定相关则获取全文。使用Jadad量表和加拿大预防保健工作组的证据水平定义对每篇全文进行严格评估。
使用加拿大预防保健工作组描述的标准对证据质量进行评级。
加拿大妇产科医师协会。
产后出血的预防PPH的治疗建议采用加拿大预防保健工作组制定的证据评估指南进行量化（表1）。
