Table 1 Criteria of quality of care for PPH selected by the expert panel and calculation of the quality score.

From: Evaluating the quality of care for postpartum hemorrhage with a new quantitative tool: a population-based study

Criteriaa

Clinical context

Cesarean

Vaginal delivery

No uterine atony

Uterine atony

No uterine atony

Uterine atony

Prophylactic uterotonic for the third stage of labor

Done

2

2

2

2

Not done

0

0

0

0

Blood loss estimation written in the medical chart

Done

2

2

2

2

Not done

0

0

0

0

First-line uterotonic

Administered ≤ 30 minb

2

2

2

2

Administered > 30 minb

1

1

1

1

Not administered

0

0

0

0

Measurement of blood hemoglobinc

Done ≤ 60 minb

2

2

2

2

Not done or done > 60 minb

0

0

0

0

Measurement of hemostatic function||

Done ≤ 60 minb

2

2

2

2

Not done or done > 60 minb

0

0

0

0

Manual examination of the uterus

Done ≤ 30 minb

NA

NA

2

2

Not done or done > 30 minb

NA

NA

0

0

Examination of the cervix and vagina

Done

NA

NA

1

1

Not done

NA

NA

0

0

Second-line uterotonic (sulprostone)

Administered ≤ 30 min after first line uterotonic (oxytocin)

NA

2

NA

2

Administered (whatever the timing)

1

0

1

0

Not administered

0

0

0

0

Total: maximal number of points

11

12

14

15

Quality score: number of points/maximum number of points

Sum /11

Sum /12

Sum /14

Sum /15

  1. aGradation: Major = 2, Minor = 1.
  2. bDelay from PPH diagnosis.
  3. cMeasurement of hemoglobin: HemoCue® or red blood count.
  4. dMeasurement of hemostasis function: ≥ 1 among PT—aPTT—fibrinogen.
  5. min minutes, NA not applicable.