Table 1.

Main barriers and facilitators addressed by professionals

	Barriers	Na
1	Lack of checklist/flowchart about PPH at the delivery rooms	4
2	The guideline is difficult to obtain the at the delivery ward	3
3	Recommendations and definitions in the guideline are unclear	3
4	Professionals overestimate their knowledge regarding identifying the patient-categories at risk for PPH and regarding the treatment of high-risk patients and patients with PPH	4
5	Professionals lack to detect high-risk patients at the outpatient clinic	4
6	Tools: need for practical tools for easier and practical use of the guideline	3
7	Lack of communication in the team responsible for the patient, about the risks, policy’s, seriousness of the situations or actions that need to be taken	4
8	Unclearness in leadership trough lack of knowledge of each other’s skills and ability, because of inexperienced professionals and the frequent change of team composition.	4
9	Disagreement between team members and with personnel of other disciplines about the seriousness of the situation (blood-bank personnel and anesthesiologists)	3
10	Lack of team collaboration, for orders are not followed and team members prefer following their own instincts in treatments that leads to inconsequent policy.	3
11	Presence of hierarchy leads to dread, for team members find it difficult to call in a gynecologist who is at home and speak freely against the supervisor when there is a disagreement about policy	3
	Facilitators
1	The availability of a checklist/flowchart about PPH at the delivery rooms would improve care	4

^a Amount of focus groups that mentioned the barrier or facilitator