NYS Hospitals Address Hemorrhage-Related Maternal Morbidity and Mortality

July 30, 2018

The New York State Obstetric Hemorrhage Project hosted its second learning session on July 23 on strategies to reduce obstetric-related hemorrhage. The Project is a collaboration between the New York State Department of Health (DOH), the American College of Obstetricians and Gynecologists (ACOG), GNYHA, and the Healthcare Association of New York State (HANYS). About 150 participants from more than 60 hospitals across the State attended the learning session, which included a hands-on simulation to reinforce best practices on how to accurately quantify blood loss in labor and delivery to reduce hemorrhage-induced morbidity and mortality.

Montefiore Health System’s Peter Bernstein, MD, MPH, FACOG, Elizabeth Igboechi, RN, Esther Schiavello, RN, and Leeshun Rivera, PA, discussed how they effectively implement the use of quantified blood-loss techniques in the labor and delivery unit to ensure that blood loss is accurately calculated and recorded in the patient’s medical record. Attendees also participated in an in-situ simulation of maternal hemorrhage to detail how to run an effective simulation in the labor and delivery unit, and shared feedback on how to best prepare for and manage an obstetric hemorrhage. Leading the simulation were Dena Goffman, MD, FACOG, NewYork-Presbyterian/Columbia University Irving Medical Center; Komal Bajaj, MD, MD, MS-HPEd, NYC Health + Hospitals/Jacobi; Sepideh Mehri, MD, FACOG, NYU Langone Health; and Anjoinette Minors, MD, FACOG, NYC Health + Hospitals/Jacobi.

The techniques and strategies highlighted at the conference are a critical component of the necessary rapid response to reduce maternal morbidity and mortality from obstetrical hemorrhage. In their monthly coaching calls, GNYHA, DOH, ACOG, and HANYS will continue providing technical support and emerging approaches for improving patient outcomes