OBSTETRIC HEMORRHAGE

Obstetric hemorrhage (OBH) is among the leading causes of preventable, pregnancy-related complications and death in Alabama, representing approximately 17% of pregnancy-related deaths between 2017-2019. Due to the physical trauma that a birthing person’s body endures during childbirth, hemorrhages can occur in patients without risk factors and is frequently not recognized until massive blood loss has occurred. Unfortunately, early recognition and intervention of OBH does not occur consistently across ER, L&D, and postpartum units.

Project Aim

Beginning January 2024, ALPQC will work in collaboration with hospitals and providers throughout Alabama to reduce the rate of SMM by 20% among pregnant and postpartum patients who experience an obstetric hemorrhage. Our key goals will be to increase the percentage of patients who receive a hemorrhage risk assessment, increase the use of quantification of blood loss, ensure patients that experience an obstetric hemorrhage receive a trauma-informed briefing of the event prior to discharge, and to narrow the black/white inequities in SMM among patients that experience an obstetric hemorrhage.

In efforts to achieve the ALPQC’s project aim for OBH, the Alliance for Innovation on Maternal Health (AIM) obstetric hemorrhage bundle will be used and tailored to the specific needs of the collaborative. AIM provides structured patient safety bundles with actionable steps to improve patient outcomes and data collection.

Increase the percentage of patients who receive a hemorrhage risk assessment.

Increase the use of quantification of blood loss

Ensure patients receive trauma-informed briefing prior to discharge

Narrow the black and white inequities in SMM among patients that experience obstetric hemorrhage.

Action Period Calls & Webinars

2024
  • October 2024 Action Period Call: OBH Data Review & Hospital Share | Slides
  • September 2024 Action Period Call: OBH Data Review & Hospital Share | Slides
  • August 2024 Action Period Call: OBH Data Review & Hospital Share | Slides
  • July 2024 Action Period Call: OBH Data Review & Hospital Share | Slides
  • June 2024 Action Period Call: OBH Data Review & Hospital Share | Slides
  • May 2024 Action Period Call: OBH Data Review & JADA Device Demonstration | Slides
  • April 2024 Action Period Call: OBH Data Review & Hospital Team Share | Slides
  • March 2024 Action Period Call: OBH Data Review | Slides
  • February 2024 Action Period Call: Baseline Overview & Hospital Team Share | Slides
  • January 2024 Action Period Call: Baseline Data Collection & Sustainability | Slides

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