Predelivery assessment of postpartum hemorrhage risk is now required for all birthing centers by the Joint Commission, based on the 2021 revised guidelines for perinatal care. Integral to this requirement is the use of a postpartum hemorrhage risk assessment tool for all patients upon admission for labor and delivery. Identifying women at heightened risk for postpartum hemorrhage before delivery is critically important, as it allows the anesthesia, obstetric, and nursing teams to prepare by ordering a type and screen or crossmatched blood products, securing appropriate vascular access, providing particularly close monitoring of the patient for excessive bleeding, or even transferring the patient to a higher level of care. Many risk factors for postpartum hemorrhage have been established, and contemporary protocols for hemorrhage risk assessment by organizations including the California Maternal Quality Care Collaborative (Stanford, California),...

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