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National Partnership for Maternal Safety: Consensus Bundle on Obstetric Hemorrhage

Main, Elliott K. MD; Goffman, Dena MD; Scavone, Barbara M. MD; Low, Lisa Kane PhD, CNM; Bingham, Debra DrPH, RN; Fontaine, Patricia L. MD, MS; Gorlin, Jed B. MD; Lagrew, David C. MD; Levy, Barbara S. MD

doi: 10.1097/AOG.0000000000000869
Contents: Consensus Statement

Hemorrhage is the most frequent cause of severe maternal morbidity and preventable maternal mortality and therefore is an ideal topic for the initial national maternity patient safety bundle. These safety bundles outline critical clinical practices that should be implemented in every maternity unit. They are developed by multidisciplinary work groups of the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care. The safety bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and System Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged. References contain sample resources and “Potential Best Practices” to assist with implementation.

We present a consensus multidisciplinary national safety bundle for obstetric hemorrhage composed of critical clinical practices designed to reduce maternal morbidity and mortality.

California Maternal Quality Care Collaborative, Stanford, California; the American College of Obstetricians and Gynecologists, District II, New York, New York; the Society for Obstetric Anesthesia and Perinatology, Milwaukee, Wisconsin; the American College of Nurse-Midwives, Silver Spring, and the American Association of Blood Banks, Bethesda, Maryland; the Association of Women's Health, Obstetric and Neonatal Nurses, and the American Congress of Obstetricians and Gynecologists, Washington, DC; and the American Academy of Family Physicians, Leawood, Kansas.

Corresponding author: Elliott K. Main, MD, California Maternal Quality Care Collaborative, Stanford University—Medical School Office Building, X2C22, Stanford, CA 94305; e-mail:

Barbara S. Levy, MD, is an employee of the American Congress of Obstetricians and Gynecologists (ACOG). All opinions expressed in this article are the authors' and do not necessarily reflect the policies and views of ACOG. Any remuneration that the authors receive from ACOG is unrelated to the content of this article.

This article is being published concurrently in the July/August 2015 issue (Vol. 44, No. 4) of Journal of Obstetric, Gynecologic, & Neonatal Nursing, the July/August 2015 issue (Vol. 60, No. 4) of Journal of Midwifery & Women's Health, and the July 2015 issue (Vol. 121, No. 1) of Anesthesia & Analgesia.

Financial Disclosure Dr. Gorlin is employed by Innovative Blood Resources and is the American Association of Blood Banks (AABB) Liaison to the American College of Obstetricians and the Gynecologists, the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), and the California Maternal Quality Care Collaborative (CMQCCL). The other authors did not report any potential conflicts of interest.

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.