Unfortunately, data to guide management of IIH patients who are pregnant is incomplete [1, 21, 50]

The gap

Evidence profile

Sourced from the recommendations and future work of the source papers, classified as general, spanning 3 journals.

Supporting evidence — 3 representative gaps

• Management and Maternal Outcomes of Primary Postpartum Hemorrhage: A Cross-Sectional Study at Wad Medani Maternity Teaching Hospital, Sudan (2026) · Kordofan Journal of Medical & Health Sciences · doi

  Based on the findings of this study, the following recommendations are proposed: 1. Strengthening active management of the third stage of labour (AMTSL): Routine and consistent implementation of AMTSL including prophylactic oxytocin, controlled cord traction, and uterine massage should be enforced in all delivery rooms. 2. Availability of essential resources: Continuous supply of uterotonic drugs (particularly oxytocin), intravenous fluids, blood, and blood products must be guaranteed across all maternity units. 3. Early identification and risk assessment: Women with identifiable risk factors (prolonged labour, multiple pregnancy, macrosomia, grand multiparity, prior PPH) should receive heightened surveillance during labour and the immediate postpartum period. 4. Training and capacity building: All maternity- care providers should undertake regular simulation-based training in PPH prevention, recognition, and stepwise management, including emergency drills. 5. Standardised management protocols: Clear, up- to-date PPH management algorithms should be displayed prominently and adhered to across all obstetric units. 6. Rapid response systems: Structured teamwork, clear communication pathways, and rapid- response mechanisms within labour wards are essential to minimise treatment delays. 7. Antenatal anaemia management: Iron deficiency anaemia should be identified and treated during antenatal care to limit the severity of PPH- related haematological complications. 8. Further research: Multicentre prospective studies are needed to evaluate health-system factors, clinical practices, and socio-cultural determinants of PPH outcomes across Sudan.

  generalrecommendations
  Keywords: management labour across based amtsl including oxytocin essential blood maternity units risk factors training care
• Leading Factors Relevant to the Choice of Mode of Childbirth Among Pregnant Women (2026) · INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND ANALYSIS · doi

  1. Improvement of the conditions in the healing structures: in the follow-up of pregnancy; in hospitals, in the delivery process; 2. Improving patient-healthcare professional communication; 3. Removal is Administration of pre-hospital assistance activities; 4. Conducting informed campaigns on the benefits of natural childbirth; 5. Institutional policy and increased control by the state to reduce the percentage of operational births, for the performance of which it is necessary to comply with the medical criteria (absolute and relative criteria). 6. Restoring the image of the obstetric profession and providing legal rights for conducting patronage care, independent midwifery competences. 7. Development of good practices for conducting quality obstetric care (standards in the different directions of obstetric 8. competences and care). Introduction of psychoprophylaxis and psychological help in preparing the pregnant woman for the upcoming changes and processes. Formation of multidisciplinary teams to provide quality and supportive midwifery care at a global level. CONCLUSIONS Informing patients is the main activity in conducting various clinical, laboratory and therapeutic activities. The implementation of a number of regulatory requirements and their administration to some extent reduces the time for informing patients, which is a prerequisite for subsequent administrative and legal inquiries. Globally, the WHO recommends a number of measures for behavior in conducting physiological childbirth that go beyond purely medical expertise and are related to promoting the physiological course of childbirth by creating a comfortable and relaxed environment for the birthing – clear, timely and accessible communication with the medical team, a preliminary plan for behavior during childbirth, access to a companion during the whole process, the possibility of free movement and change of posture, access to light food and drinks, etc. None of these options, however, are routinely available for the Bulgarian woman, and some are not offered in any maternity ward in the country, regardless of whether the mother can and wants to pay. For Bulgaria, the recommendations of the Bulgarian Society of Obstetrics and gynecology for keeping records of guidelines, in which the specialist is committed to "providing balanced information about what are the available methods and approaches in the conditions of the respective medical institution, as well as encouraging compliance with this". Collaboration is required at all levels and building effective communication with regard to midwifery care providers and users. Policy at the state and institutional level is necessary to develop in the direction of supporting natural childbirth, cr eating conditions for prolonged obstetric care not only by obstetricians-gynecologists, but also by midwives who carry out the care of the mother and newb

  generalrecommendations
  Keywords: care conducting childbirth medical obstetric conditions communication midwifery process administration activities natural institutional policy state
• Idiopathic Intracranial Hypertension and Pregnancy: Recent Developments (2026) · Current Treatment Options in Neurology · doi

  Unfortunately, data to guide management of IIH patients who are pregnant is incomplete [1, 21, 50]. A lack of ran- domized controlled studies forces us to rely on case reports and case series, which by their nature may overrepresent severe presentations and complications [21]. Recent pro- spective studies [23, 36] and large database studies [24, 41–43] are improving our knowledge of this vulnerable population. Future directions for research should further evaluate if providers are making birth control recommendations that lead to unplanned pregnancies in this population, effective- ness and safety of surgical treatments of IIH during preg- nancy, how to facilitate effective communication among medical providers, what factors impact patient’s experi- ences of IIH in pregnancy, and how to optimize frequency of follow up visits during pregnancy.

  generalfuture work
  Keywords: case population providers effective pregnancy unfortunately guide management patients pregnant incomplete lack domized controlled forces

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