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New York State Obstetric Hemorrhage Project

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The goal of the New York State (NYS) Obstetric Hemorrhage Project is to reduce maternal morbidity and mortality statewide by translating evidence-based guidelines into clinical practice to improve the assessment and management of obstetric hemorrhage. Regional Perinatal Centers (RPCs), RPC-affiliate birthing hospitals, New York State Department of Health’s (NYSDOH) New York State Perinatal Quality Collaborative (NYSPQC), American
Congress of Obstetricians and Gynecologists (ACOG) District II’s Safe Motherhood Initiative (SMI), Healthcare Association of New York State (HANYS), Greater New York Hospital Association (GNYHA), National Institute of Children’s Health Quality (NICHQ), and other stakeholders are working together for approximately 18 months to implement interventions to improve obstetric outcomes.

The NYS Obstetric Hemorrhage Project focuses on:

  • Improving readiness to respond to an obstetric hemorrhage by implementing standardized policies and procedures and developing rapid response teams;
  • Improving recognition of obstetric hemorrhage by performing ongoing objective quantification of actual blood loss and triggers of maternal deterioration during and after all births;
  • Improving response to hemorrhage by performing regular on-site, multidisciplinary hemorrhage drills; and
  • Improving reporting of obstetric hemorrhage though the use of standardized definitions resulting in consistent coding.
These evidence-based interventions build upon work previously done in NYS birthing hospitals through the NYSDOH’s NYSPQC / New York State Partnership for Patients’ Maternal Hemorrhage and Hypertension Initiative and ACOG District II’s Safe Motherhood Initiative.