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. This work concluded in 2022.

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 during the initiative was 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.

A steering committee composed of all members of the obstetric care team developed a best practice toolkit and all interested obstetric care providers and birth facilities in Oregon were invited to participate in the implementation of the quality improvement processes and tools developed. While the COVID19 pandemic interrupted this work following its initial launch, many hospitals were able to rejoin in 2020 and 2021 with important progress made before the initiative concluded in 2022.

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).