{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:58:57Z","timestamp":1790780337481,"version":"4.1.0"},"reference-count":36,"publisher":"AOSIS","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Postpartum haemorrhage (PPH) remains a leading cause of maternal mortality globally. Effective management of PPH demands the implementation of E-MOTIVE bundle for early detection and management of PPH as recommended by the World Health Organization (WHO).\nAim: The scoping review aimed to map evidence on the implementation of the E-MOTIVE bundle for early detection and management of PPH emergencies globally.\nMethods: The review adopted the Arksey and O\u2019Malley methodological framework (2005). Six databases (CINAHL, MEDLINE, Scopus, PubMed, Web of Science and ProQuest) were searched for sources. The inclusion criteria consisted of full-text articles in English published between 2015 and 2025.\nResults: A total of 14 articles were selected. The review revealed: 1. Types of PPH bundles, 2. Implementation strategies of E-MOTIVE bundle. 3. Barriers to effective implementation of the E-MOTIVE bundle.\nConclusion: A bundled care approach for the management of PPH following vaginal delivery has been shown to reduce adverse maternal outcomes because of PPH.\nContribution: The review addresses a critical gap in the implementation and suggests implementation strategies of the E-MOTIVE bundle, including objective blood loss estimation, scalable training, adoption to national policies and teamwork among the obstetric team.<\/jats:p>","DOI":"10.4102\/hsag.v31i0.3290","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:26:52Z","timestamp":1790778412000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Scaling up implementation of the E-MOTIVE bundle for early detection and management of postpartum haemorrhage emergencies: A scoping review"],"prefix":"10.4102","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9572-6319","authenticated-orcid":false,"given":"Maurine R.","family":"Musie","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3935-9972","authenticated-orcid":false,"given":"Sibonginhlanhla P.","family":"Mdanda","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5144-0266","authenticated-orcid":false,"given":"Fhumulani M.","family":"Mulaudzi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6245-3449","authenticated-orcid":false,"given":"Sinethemba","family":"Nyandeni","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-7632","authenticated-orcid":false,"given":"Adolphina M.","family":"Thema","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3163-3217","authenticated-orcid":false,"given":"Felicia O.","family":"Meno","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Akter, S., Forbes, G., Corona, M.V., Miller, S., Althabe, F., Coomarasamy, A. et al., 2023, \u2018Perceptions and experiences of the prevention, detection, and management of postpartum haemorrhage: A qualitative evidence synthesis\u2019, Cochrane Database of Systematic Reviews 11, CD013795. https:\/\/doi.org\/10.1002\/14651858.CD013795.pub2","DOI":"10.1002\/14651858.CD013795.pub2"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Akter, S., Forbes, G., Miller, S., Galadanci, H., Qureshi, Z., Fawcus, S. et al., 2022, \u2018Detection and management of postpartum haemorrhage: Qualitative evidence on healthcare providers\u2019 knowledge and practices in Kenya, Nigeria, and South Africa\u2019, Frontiers in Global Women\u2019s Health 3, 1020163. https:\/\/doi.org\/10.3389\/fgwh.2022.1020163","DOI":"10.3389\/fgwh.2022.1020163"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Althabe, F., Therrien, M.N., Pingray, V., Hermida, J., G\u00fclmezoglu, A.M., Armbruster, D. et al., 2020, \u2018Postpartum hemorrhage care bundles to improve adherence to guidelines: A who technical consultation\u2019, International Journal of Gynecology & Obstetrics 148(3), 290\u2013299. https:\/\/doi.org\/10.1002\/ijgo.13028","DOI":"10.1002\/ijgo.13028"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Arksey, H. & O\u2019malley, L., 2005, \u2018Scoping studies: Towards a methodological framework\u2019, International Journal of Social Research Methodology 8(1), 19\u201332. https:\/\/doi.org\/10.1080\/1364557032000119616","DOI":"10.1080\/1364557032000119616"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bingham, D., Scheich, B. & Bateman, B.T., 2018, \u2018Structure, process, and outcome data of Awhonn\u2019s postpartum 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S.C., Leffert, L.R. & Farber, M.K., 2019, \u2018Update on obstetric hemorrhage\u2019, Current Anesthesiology Reports 9(1), 60\u201368. https:\/\/doi.org\/10.1007\/s40140-019-00311-6","DOI":"10.1007\/s40140-019-00311-6"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Shikuku, D.N., Jebet, J., Nandikove, P., Tallam, E., Ogoti, E., Nyaga, L. et al., 2022, \u2018Improving midwifery educators\u2019 capacity to teach emergency obstetrics and newborn care in Kenya universities: A pre-post study\u2019, BMC Medical Education 22(1), 749. https:\/\/doi.org\/10.1186\/s12909-022-03827-4","DOI":"10.1186\/s12909-022-03827-4"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Singata-Madliki, M., Fawcus, S., Moran, N., Arends, E., Muller, E., Mandondo, S. et al., 2023, \u2018Implementing e-motive for detection and treatment of postpartum haemorrhage in South Africa\u2019, South African Medical Journal 113(12), 1526\u20131530. 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