Postpartum hemorrhage (PPH) is a leading cause of maternal complications. The labor and delivery team at MultiCare Auburn Medical Center saw an opportunity to strengthen how the unit prepares for and responds to these high-risk events. Nurses launched a multidisciplinary postpartum hemorrhage task force, focusing on readiness, rapid intervention and team-wide confidence.
The first major step was hands-on education. Nurses organized training sessions where they practiced rapid recognition and intervention for PPH scenarios. These sessions included mock drills, role assignments and debriefings to reinforce teamwork and communication.
Teams also participated in simulation drills and the highly engaging “PPH Olympics,” a race-style event with multiple skill stations. These activities boosted confidence and teamwork, with readiness scores increasing by 15 percent after training.
Progress tracking
To ensure accountability and sustained improvement, the task force implemented monthly progress tracking. Key metrics included:
- The incidence of postpartum hemorrhage
- Number of JADA blood loss devices used
- Providers’ rate of postpartum hemorrhage
This transparency kept the team focused and aligned.
Nurses also designed an innovative solution: a PPH response backpack. This portable kit was stocked with essential supplies for rapid intervention. The backpack reduced delays in emergencies by ensuring everything needed was immediately available at the bedside.
Outcomes and impact
These combined efforts led to measurable improvement. PPH-related adverse events decreased from 9.5 percent to 9 percent, improving outcomes for seven families in 2025. While small in number, these seven mothers avoided additional trauma, prolonged stays and long-term emotional impact.
Mothers who experience severe postpartum hemorrhage often face lasting psychological trauma, with studies showing significant long-term emotional effects following the event.
This initiative highlights the power of nurse-driven quality improvement. By identifying gaps, designing practical tools and leading hands-on education, nurses transformed the unit’s approach to PPH and strengthened safety for every birthing patient they serve.
Written by: Jessi Corrigan, MultiCare Auburn Medical Center