Conclusion: This report details our experience with the practical implementation of a management protocol for
massive postpartum hemorrhage at a tertiary care hospital in a developing country. With the exception of arterial
embolization, relatively newer, simpler and potentially safer techniques are now being employed for the
management of massive postpartum hemorrhage at our institution. Particular attention should be paid to the
documentation of the management steps while ensuring a stricter adherence to the formulated protocols and
guidelines in order to further ameliorate patient outcomes in emergency obstetrical practice. More audits like the
one we performed are important to recognize and rectify any deficiencies in obstetrical practice in developing
countries. Dissemination of the same is pivotal to enable an open discourse on the improvement of existing
obstetrical strategies.