Drill Kit

Delayed Postpartum Hemorrhage with Nurse and Doula Present

This Drill Kit tests the emergency response to a delayed postpartum hemorrhage in a community birth setting after departure of the primary provider, with care being provided by a nurse (or other clinical birth assistant) and a doula (or other non-clinical birth assistant.) The scenario includes initiating emergency postpartum transfer to a higher level of care for ongoing management of postpartum hemorrhage. 

Learning Objectives

  • Identify and respond to a delayed postpartum hemorrhage in a manner consistent with the respective scopes of practice of interdisciplinary learners.
  • Identify opportunities to strengthen preparedness for perinatal emergencies when licensed midwives and physicians are not initially available to direct management.
  • Review ways to promote person-focused care during emergencies.
  • Use debriefing skills to promote equity and ensure integration of individual and collective learning.

This drill kit is appropriate for:

  • Home birth practices
  • Birth centers
  • Community hospitals that may initiate emergency care and/or transport when providers are not on site

And may further engage:

  • Community-based doula organizations and trainers
  • EMS or other emergency transport partners
  • Labor & Birth unit and other relevant units at the referral hospital

To test the process of:

  • Postpartum emergency transport
  • Emergency care with the initial absence of licensed midwives or physicians to direct management

Publish Information

Authored by:
Amy Romano, MBA, MSN, CNM, FACNM and Jennifer Johnson, MS, CNM

Reviewed by:
Alexa Dougherty, MSN, PHN, CNM
Jess Brennan, MA, CD, LCCE, C-VBACS, LMT
Beth McGovern, DNP, RNC-OB

Last updated: December 2024
Drill Kit Usage Agreement
By accessing or downloading this Drill Kit, you agree to the Step Up Together® Drill Kit User Agreement.

Permitted Use
You may use these materials to conduct internal drills and training within your own practice, facility, or established care network (e.g., partner hospitals or EMS).

Prohibited Use
You may not use these materials to provide consulting, facilitation, simulation services, or technical assistance to other organizations

  • Use them as part of commercial training or consulting services
  • Redistribute, sell, or publish the Drill Kits or modified versions
  • Remove Step Up Together® or Primary Maternity Care attribution

If you are interested in facilitating drills for other organizations or incorporating Step Up Together materials into consulting or training programs, please contact us at info@stepuptogether.com.