Abraham Fessehaye Sium, Don Eliseo-Iii Lucero-Prisno
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From Pledge to Practice: A Call for FIGO/WHO to Issue Harmonized, Consolidated Abortion Care Guidelines.
October 5, 2025, saw the launch of first-ever consolidated postpartum hemorrhage (PPH) management guidelines issued by three global health agencies-World Health Organization (WHO), Federation International of Gynecologists and Obstetricians (FIGO), and International Confederation of Midwives (ICM)-at the FIGO congress in Cape Town, South Africa. This landmark XXV FIGO 2025 congress also hosted inauguration of two vital pledge walls-"End PPH" and "Safe abortion saves women. Denial takes them." These pledge walls represent a commitment to initiatives of end two leading causes of maternal mortality at global level, which are PPH and unsafe abortion. We call on WHO and FIGO-in collaboration with Society of Family Planning (SFP) and other guideline-setting bodies-to convene a similar harmonization and process and issue a consolidated, consistent abortion care guidelines to reduce contradictory recommendations and improve uptake of evidence-based recommendations.