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The New York Safe Motherhood Initiative implemented a statewide obstetric hemorrhage bundle between 2013 and 2015, aiming to improve management and reduce adverse outcomes of postpartum hemorrhage (PPH). Analysis of over 3.5 million delivery hospitalizations from 2007 to 2022 revealed continuous rise in PPH incidence but significant reductions in transfusions, severe maternal morbidity (SMM), disseminated intravascular coagulation (DIC), and hysterectomy rates coinciding with the program’s implementation. Adjusted analyses suggest sustained benefits in reducing maternal morbidity despite increasing patient complexity over time.
