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Obstetric Hemorrhage Initiative 2.0

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The Florida Perinatal Quality Collaborative (FPQC) launched the Obstetric Hemorrhage Initiative (OHI) 2.0 in July 2025. This second initiative builds on the foundation established by our first OHI in 2013 and incorporates the updated Alliance for Innovation on Maternal Health (AIM) Obstetric Hemorrhage Patient Safety Bundle.

Obstetric hemorrhage rates in Florida have risen by 31% from 2017 to 2022, highlighting the need for renewed efforts. In 2020, obstetric hemorrhage accounted for 9.1% of pregnancy-related deaths in Florida, with the Maternal Mortality Review Committee identifying 75% of these deaths as preventable. As the second leading cause of pregnancy-related deaths in the state, obstetric hemorrhage also contributes significantly to short- and long-term complications for mothers and infants. While rates are rising across all demographic groups, they are highest among non-Hispanic Black patients.

Through OHI 2.0, FPQC is equipping hospitals with the tools, guidance, and collaborative support needed to standardize protocols for recognizing and managing obstetric hemorrhage effectively. The initiative is currently underway, supporting participating hospitals as they implement evidence-based practices and work to improve outcomes for patients and families across Florida.

Participation in OHI 2.0 qualifies as one of the two FPQC initiatives required by Florida statute.