Introduction

Primary postpartum haemorrhage is defined
as blood loss of 500 ml or more from the
genital tract after birth
1. Primary- within 24 hours of birth
2. Secondary- Between 24 hours till 12 weeks
after birth
Minor (500–1000 ml)
Major (more than 1000 ml)

Objectives

To investigate the compliance of completing the PPH quality
improvement bundle, comprising of risk factors and checklist
assessment, along with management with blood products,
across the three hospital sites of University Hospitals
Birmingham

Methodology

• A retrospective study of 289 women with an estimated blood loss
of >1000 ml within 24 hours of birth
• Limitation- TEG is exclusively available at BHH currently
• Data was obtained using the Badger net electronic medical record
syste

 

Reccommendation

• Incorporation of a PPH risk assessment checklist on
Badgernet
• Independent score calculation for each patient to guide
management in pregnancy
• Prospective audit, involving women who fall within the
moderate category risk of PPH or above during risk
calculation done at the first antenatal contact , followed
till delivery to see how effective the said risk assessment
is in predicting PPH
• Education and training for all stakeholders involved in
care of obstetrics patients for completion of PPH risk
assessment check list
• Education and training for all stakeholders involved in
care of obstetrics patients for completion of PPH
management check list
• Ensure availability of TEG across sites
• Revision of trust’s PPH guidelines to incorporate TEG
assessment and interpretation
• Incorporation of TEG in PPH checklist on