From missed to managed: Turning postpartum hemorrhage monitoring into proactive care

Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity, and accurate blood loss monitoring is essential for early intervention. Our team identified a gap in tracking blood loss, leading to missed or delayed responses. Compliance was 21%, but after implementing a focused initiative, compliance increased to 68% over six months. Key lessons included the challenge of referencing CMQCC guidelines quickly in emergencies. We simplified the guidelines for easier use in high-pressure situations. We also identified underuse of mechanical devices and uterotonics in PPH management. Through meetings with doctors and sharing data, we raised awareness and improved the use of these interventions. By closely monitoring blood loss throughout the postpartum period and improving staff education and communication, we transitioned from reactive to proactive care, improving patient safety and outcomes. This experience reinforced the importance of clear guidelines, real-time feedback, and team collaboration.