Table 3. Final top priority research questions by track, ordered from highest to lowest priority.
Rank | Innovation | Implementation | Cross-cutting |
1 | What is the comparative effectiveness and safety of alternative routes of tranexamic acid (TXA) in the treatment of PPH? | What are the implementation barriers and facilitators affecting the adoption and use of evidence-based recommendations for PPH management? | What is the effectiveness of a strategy of early detection and first response treatment using a bundle of recommended interventions for improving PPH-related outcomes? |
2 | What is the effectiveness and safety of heat-stable carbetocin for PPH treatment in women who received heat-stable carbetocin for PPH prevention? | What are the optimal strategies to ensure access to quality-assured PPH medicines (including universal health coverage/essential packages for health services and health benefit package) in low-income and middle-income countries? | What is the effectiveness and safety of a diagnostic algorithm (eg, Shock Index) and early detection strategies (eg, Modified Early Obstetric Warning Score) in improving clinical detection and management of PPH? |
3 | What is the comparative effectiveness of uterine balloon tamponade devices compared with other tamponade interventions (such as suction devices) in the reduction of PPH-related maternal morbidity and mortality? | What are the most effective advocacy strategies to improve the uptake and ensure sustainment of evidence-based practices for PPH management at the country level? | What is the effectiveness of checklists in improving PPH quality of care and PPH-related outcomes compared with current standard of care? |
4 | Can clinical criteria for haemodynamic instability facilitate earlier PPH diagnosis and improved PPH outcomes compared with blood loss measurement alone? | What is the effectiveness and cost of pre-service and in-service training programmes for front-line healthcare workers (paramedics, general practice doctors, community health workers, midwives, nurses) to manage and refer women with PPH? | What is the effectiveness of Maternal and Perinatal Death Surveillance and Response programmes in the reduction of maternal deaths due to PPH? |
5 | What strategies are most effective for engaging the private sector in the development of new PPH medicines, devices and diagnostics in low-income and middle-income countries? | What are the most effective implementation strategies to improve uptake and sustainment of recommended evidence-based interventions for PPH management, including in humanitarian settings? | What is the effectiveness and safety of TXA in the prevention of PPH in general obstetric population and in women at high risk of PPH (eg, anaemic women)? |
PPHpostpartum haemorrhage