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Department of Reproductive Health and Research (RHR), World Health Organization

Managing Complications in Pregnancy and Childbirth

A guide for midwives and doctors 


How to use this manual on the web

The  manual is arranged by symptoms (ex. vaginal bleeding in early pregnancy).  Because this symptom-based approach is different than most medical texts which are arranged by disease, a corresponding diagnosis table is provided. Links have been used extensively to facilitate navigation between symptoms and diagnosis. This differs from the printed version of this text where page numbers are used.

More information

Full text PDF (10,337 KB)

The emphasis of the manual is on rapid assessment and decision making

The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings (e.g. district hospital or health centre).

The interventions described in these manuals are based on the latest available scientific evidence.

Given that evidence-based medicine is the standard on which to base clinical practice, it is planned to update the manual as new information is acquired.

It is hoped that this manual will be used at the side of the patient, and be readily available whenever a midwife or doctor is confronted with an obstetric emergency.



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