National Consensus on Management Post Partum Hemorrhage (PPH)

Dr Ron George highlights a critical evidence-to-practice gap in Canadian maternal care and makes a clear case for national alignment regarding postpartum hemorrhage (PPH) to. He highlights that PPH is the leading preventable cause of maternal mortality, affects 5–6% of births in Canada, and remains one of the most common postpartum complications. When poorly managed, PPH is associated with severe consequences, including maternal death, ICU admission, hysterectomy, major morbidity, and adverse infant outcomes. Despite years of research and the availability of clinical tools, outcomes remain suboptimal: PPH accounts for nearly half of severe maternal morbidity nationally and 27% of pregnancy-related deaths in Ontario alone.

Dr. George emphasizes that persistent variability in practice, inconsistent implementation of evidence-based tools, and delayed intervention are central reasons Canada has not achieved better outcomes, underscoring the urgent need for a coordinated, national consensus approach to PPH