”Evaluation of Postpartum Hemorrhage Management in the Dominican Republic: A Cross-Sectional Study”

Objective: To evaluate postpartum hemorrhage (PPH) management in the Dominican Republic and analyze clinical training and available resources in maternal health contexts. Design: Cross-sectional study. Setting: Public and private hospitals in the Dominican Republic. Population: 500 obstetricians and gynecology residents. Methods: A survey assessing PPH management practices, resource availability, and training was administered to participants. Descriptive statistics were used to analyze the data. Main Outcome Measures: Clinical training in obstetric emergencies, availability of resources for managing PPH, and the role of multidisciplinary care. Results: 45% of respondents reported inadequate training for PPH management. Only 30% had access to Bakri balloons, and 60% used oxytocin as the first-line uterotonic. 80% emphasized the importance of a multidisciplinary approach. Conclusions: Significant gaps in clinical training and access to critical resources for PPH management were identified in the Dominican Republic. Addressing these gaps is essential to reducing maternal mortality rates.