More than seven years ago, Pamela West, M.Ed., R.N., director of women’s and children’s services at Titus Regional Medical Center, was working in the labor and delivery unit at a hospital near the Texas-Mexico border when she experienced the tragedy of a young mother bleeding to death after giving birth to twins. This devastating incident forever changed West. As a result, she dedicated her career to addressing the causes of maternal mortality, particularly emergent situations involving maternal hemorrhaging. In 2016, West brought her knowledge to Titus Regional, a 174-bed hospital located in Mount Pleasant, Texas. Although the hospital had a massive transfusion protocol in place, West observed that the post-partum recovery unit – where most maternal hemorrhaging occurs – was not optimizing best practices. At that time, Titus Regional was above the Texas and national averages for maternal morbidity – specifically for cases related to hemorrhaging. In response, Titus began making changes to adopt best practices in maternal safety.
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