
This study aims to learn lessons for maternity care by scrutinizing postpartum haemorrhage management (PPH) in cases of PPH‐related maternal deaths. The new insights were primarily related to clinical care, emphasizing hemostatic surgery earlier during PPH and reducing the third stage of labour by prompter manual removal of the placenta. Experts recommended extending PPH guidelines with specific guidance for women refusing blood products and systematically evaluating risk factors. The quality of CEMD was presumed to benefit from enhanced case findings, non‐obstetric sources, and electronic reporting of maternal deaths to reduce the administrative burden. A binational CEMD revealed opportunities for care improvement beyond lessons learned at the national level.
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