The Oregon Perinatal Collaborative, in partnership with the Centers for Disease Control & Prevention and the Alliance for Innovation on Maternal Health (AIM) launched a state-wide data-driven quality improvement initiative in October, 2019, with the objective of reducing severe maternal morbidity and mortality related to obstetric hemorrhage among women who give birth in Oregon.

Obstetric hemorrhage accounts for approximately 10% of all maternal morbidity and mortality; however, interventions through well-defined protocols such as blood transfusion strategies and treatment algorithms can reduce clinically significant obstetric hemorrhage.  Our goal is to guide and support obstetric care providers and birth facilities in the implementation and adoption of evidence-based, collaborative, patient-centered practices to prevent and manage obstetric hemorrhage.

The purpose of this initiative is to work with hospitals throughout the state who are currently implementing quality improvement processes related to postpartum hemorrhage. Through this collaborative process, a steering committee composed of all members of the obstetric care team will developed a best practice resource toolkit that can be effectively executed in all resource settings. All interested obstetric care providers and birth facilities within Oregon were invited to participate in the implementation of these postpartum hemorrhage quality improvement processes. It is our goal to support this state-wide implementation, providing avenues of communication between birth facilities, the Oregon Perinatal Collaborative, and AIM to facilitate and trouble-shoot the adoption of evidence-based, collaborative, patient-centered practices to prevent and manage obstetric hemorrhage.

The OPC concluded its bundle implementation in April 2022, but resources and recordings from the initiative can be found at the following link: AIM OB Hemorrhage Toolkit Implementation (2019-2022).