Please use numerical data and enter 0 instead of none, n/a or skipping a question.

Low Risk:
• No previous uterine incision
• Singleton Pregnancy
• ≤4 previous vaginal births
• No known bleeding disorder
• No history of PPH
Medium Risk:
• Prior C/S or uterine surgery
• Multiple gestation
 4 previous vaginal births
• Gestational age <37 weeks or > 41 weeks
• Chorioamnionitis
• Prolonged labor induction (>24 hrs.)
• Polyhydramnios
• History of previous PPH
• Preeclampsia
• Large uterine fibroids
• Hematocrit <30 and other risk factors and Hgb <10
• Obesity (BMI >40)
• Estimated fetal weight >4000g
• Platelets 50,000-100,000

High RIsk Note* if have 2 medium hemorrhage risk factors it is considered a high risk:
• Placenta Previa, or low-lying placenta
• Suspected/known accrete, percreta, increta spectrum
• Abruption placenta
• Platelets < 50,000(
• Hematocrit <24 % (Hgb < 8)
• HELPP syndrome
• Known coagulopathy
• Fetal demise

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* 1. Contact Information

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* 3. Total number of deliveries this month

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* 4. How many patients had a postpartum hemorrhage (defined as QBL>1000 cc)?

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* 5. Of these patients with hemorrhage, how many identified the following race (total should equal total in Question 4)

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* 6. Of these patients with hemorrhage, how many identified the following ethnicity (total should equal total in Question 4)

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* 7. Of the number of patients who had a postpartum hemorrhage, what risk level were they identified pre-admission for hemorrhage? (see definitions above)

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* 8. How many of the hemorrhages

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* 9. What interventions were used to manage PPH

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* 10. Post Partum Depression, how many patients (FOR ALL DELIVERIES THIS MONTH)

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