A major objective of the guidelines was to clarify which PPH prevention interventions are appropriate for different settings. Moreover, the guiding process of development of the guidelines sought to identify which intervention may be employed by skilled and non-skilled providers. However, all the recommendations in the guidelines are for skilled providers. The only clear reference in the guidelines to non-skilled provider is in the context of cautioning (policy-makers and programme managers) against the use of active management of labour by non-skilled provider. Although the guidelines include uterine massage as a component of active management of the third stage of labour, evidence for this component is not reviewed and no direct recommendation relating to it is made.