Do You Work in an ER Without OB Services?
If yes, this guide is for you. When a postpartum hemorrhage (PPH) emergency strikes, seconds matter. Having a Postpartum Hemorrhage (PPH) cart or backpack ready can mean the difference between life and loss. Whether you’re in a rural clinic or an emergency department without obstetric services, readiness ensures rapid recognition, rapid response, and rapid control of bleeding.
Why a Postpartum Hemorrhage (PPH) Cart or Backpack Matters
In obstetric emergencies, delays can be devastating. A mobile, well-organized PPH unit allows healthcare providers to act immediately, even outside traditional labor and delivery units. The purpose is simple — save time, save lives.
Essential Contents of a PPH Cart or Backpack
A PPH cart should be neatly divided into clear sections for efficiency and speed.
1. Airway and IV Access
- Large-bore IV catheters (14–16 gauge)
- IV fluids (normal saline or lactated Ringer’s)
- Oxygen masks and tubing
2. Medications
- Uterotonics: Oxytocin, Methylergonovine, Misoprostol, Carboprost
- Tranexamic acid (TXA)
- Analgesics and antiemetics as needed
3. Hemorrhage Control Tools
- Uterine balloon tamponade (Bakri balloon or equivalent)
- Intrauterine suction devise (JADA device or equivalent)
- Uterine massage kits (sterile gloves, lubricant)
- Suturing materials for repair (if a skilled provider is available)
4. Blood and Laboratory Supplies
- Blood collection tubes (CBC, coagulation studies, type and crossmatch)
- Access to blood products: PRBCs, platelets, plasma via transfusion protocols
5. Monitoring and Documentation
- Vital signs monitor (BP cuff, pulse oximeter)
- Hemorrhage checklists and flow sheets
- Emergency contact numbers
Training and Simulation: The Next Level of Preparedness
A postpartum hemorrhage cart is effective only if staff are trained to use it efficiently. Tabletop drills and simulation exercises reinforce protocols, enhance teamwork, and ensure everyone knows their role before the crisis begins.
Conclusion: Preparation Saves Lives
A Postpartum Hemorrhage (PPH) cart or backpack represents readiness in action. With organized tools, clear checklists, and trained teamwork, healthcare providers can act decisively and save both maternal and newborn lives. In emergencies, preparation is the best prevention.
For official clinical recommendations, refer to the American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin
Maternal 911 Education Systems, LLC includes an obstetrician-gynecologist and a women’s healthcare nurse practitioner specializing in emergency obstetrics, intrapartum, and postpartum safety. Passionate about maternal health education, Maternal 911 advocates for evidence-based practices and interdisciplinary team training.
Educational use only — not a substitute for clinical judgment or local protocols.
