Incorporating a Postpartum Hemorrhage Bundle on the Labor and Delivery Unit: A State-Wide Survey of Anesthesiologists in Massachusetts

Abstract

(Int J Obstet Anesth. 2023;55:103893/https://doi.org/10.1016/j.ijoa.2023.103893/) Postpartum hemorrhage (PPH) is a significant contributor to preventable maternal morbidity and mortality, necessitating a comprehensive, interdisciplinary approach. Recognizing the urgency, the American College of Obstetricians and Gynecologists advocates adopting PPH bundles to ensure prompt identification and intervention. Obstetric anesthesiologists, possessing expertise in critical care and transfusion, are integral to the resuscitation efforts in PPH. Nevertheless, their involvement in implementing PPH bundles is inconsistent, prompting the need for a more dedicated focus on predelivery risk assessment, early recognition, and institutional protocol development.