Table 3.

Substandard care factors in management of PPH in HFSUH, eastern Ethiopia, 2019.

SN	Sub-Standard Care Factors
1.	Poor documentation and chart keeping (including vital sign recordings, partograph maintenance, birth summary, discharge summary, input/output charts)
2.	Lack of documentation of management of postpartum hemorrhage
3.	Incomplete vital sign monitoring immediately postpartum
4.	Lack of and poor quality of available blood pressure cuffs
5.	Lack of blood for transfusion
6.	Poor referral system causing delay and/or resulting in severe anemia and hypovolemic shock
7.	Delay in initiating assessment of emergency cases
8.	Lack of medical resources and supplies (medical equipment, medication)
9.	Not specifying cause of PPH, especially among referred patients
10.	Responsibilities of medical staff not clear (especially for medical interns)

PPH—postpartum hemorrhage.