biostudies-literatureBell SFWerfen1000 Lives Improvement WalesNHS Walese000854https://www.ebi.ac.uk/biostudies/studies/S-EPMC7326295biostudies-literatureUnknown9(2)<h4>Background</h4>Postpartum haemorrhage (PPH) contributes to substantial maternal morbidity. Research into PPH has led to improvements in care which have been incorporated into the Obstetric Bleeding Strategy for Wales.<h4>Intervention</h4>A national quality improvement team supported local teams in implementing multiple interventions including risk assessment, objective measurement of blood loss, multiprofessional assessment (at the bedside at 1000 mL blood loss) and point-of-care (POC) testing of coagulation to guide blood product resuscitation during PPH. The project was rolled out to all 12 obstetric units in 2017. The interventions were reinforced by an All Wales Guideline, PPH proforma and standardised training. A national database, biannual audits, and patient and staff surveys reBMJ open qualityDesigning and implementing an all Wales postpartum haemorrhage quality improvement project: OBS Cymru (the Obstetric Bleeding Strategy for Wales).PMC7326295Efficiency Through Technology FundBailey CCollins PGreaves KFrancis CBell SFEdey TTozer JKitchen TJohn MJames KVolikas IScarr CWatkins ACollis RKelly KSengupta NMacgillivray EfalseDesigning and implementing an all Wales postpartum haemorrhage quality improvement project: OBS Cymru (the Obstetric Bleeding Strategy for Wales).<h4>Background</h4>Postpartum haemorrhage (PPH) contributes to substantial maternal morbidity. Research into PPH has led to improvements in care which have been incorporated into the Obstetric Bleeding Strategy for Wales.<h4>Intervention</h4>A national quality improvement team supported local teams in implementing multiple interventions including risk assessment, objective measurement of blood loss, multiprofessional assessment (at the bedside at 1000 mL blood loss) and point-of-care (POC) testing of coagulation to guide blood product resuscitation during PPH. The project was rolled out to all 12 obstetric units in 2017. The interventions were reinforced by an All Wales Guideline, PPH proforma and standardised training. A national database, biannual audits, and patient and staff surveys re2020-01-01T00:00:00Z2020 Apr2026-07-15T21:33:30.989Z2026-07-09T10:13:24.139ZS-EPMC73262953227328110.1136/bmjoq-2019-000854