Postpartum haemorrhage emergency care using the bundle approach at acharya vinoba bhave rural hospital of Jnmc Sawangi, Wardha

Postpartum haemorrhage is characterized within 24 hours of birth as a blood loss of 500 ml or greater. Post partum haemorrhage is the leading cause of maternal mortality in India and approximately one-quarter , worldwide. Most Post partum haemorrhage-related deaths occur during the first 24 hours of birth, most of which could be prevented by the use of prophylactic uterotonics during the third stage of childbirth and timely and effective management. The "bundles" strategy was designed to improve adoption and compliance with prescribed treatments.(5) Care bundles differ from other care packages in that compliance is only accomplished when all the packaged measures are completed and registered. Compliance with the package as a whole therefore implies higher compliance rates for its individual elements. Coordination, collaboration and cooperation are stressed because the mechanisms of these health systems are necessary for quality and sustainability. (1)In 2012, the World health organization released its "Recommendations for Postpartum Hemorrhage Prevention and Treatment" to provide evidence-informed clinical care.