Table 1 AWHONN hemorrhage risk assessment29.

From: Obstetric hemorrhage risk assessment tool predicts composite maternal morbidity

Low risk

Medium risk*

High risk

No previous uterine incision

 ≤ 4 Previous vaginal births

No known bleeding disorder

No history of PPH

Singleton pregnancy

Induction of labor

 > 4 Prior vaginal births

Prior cesarean birth or prior uterine incision

Large uterine fibroids

History of one previous PPH

Chorioamnionitis

Fetal demise

Morbid obesity (BMI > 35)

Estimated fetal weight > 4 kg

Family history in first degree relative who experienced PPH

Polyhydraminos

Active bleeding more than bloody show

Suspected accreta or percreta

Placenta previa, low lying placenta

Known coagulopathy

History of more than one previous PPH

Hematocrit < 30 and other risk factors

Platelets < 100 k

  1. AWHONN Association of Women’s Health, Obstetric and Neonatal Nurses, PPH Postpartum hemorrhage, BMI body mass index.
  2. *If two or more medium risk items are found then that classifies as 'high risk'.