PPH
PPHrisk
100% free • No login • No PHI transmitted

Postpartum hemorrhage
risk calculator

Fast, mobile-friendly PPH risk assessment for L&D clinicians. CMQCC V3, AWHONN, and ACOG scoring. Generates chart-ready documentation in one click.

Compare frameworks

1 Prenatal / Baseline Factors

2 Intrapartum Factors

Decision support tool — not a diagnostic device. Clinical judgment supersedes this score. All computation runs locally in your browser; no patient data is transmitted to any server.

Which framework should you use?

All three are evidence-based and widely accepted. Choose the one your unit has standardized — or compare across them.

CMQCC V3

California Maternal Quality Care Collaborative

The de facto US gold standard. Categorical Low/Med/High based on risk factors. Updated 2022 in the V3 Hemorrhage Toolkit.

  • Best for: Hospitals with maternal safety bundles
  • Style: Categorical (no numeric score)
  • Updated: 2022
AWHONN

Association of Women's Health, Obstetric and Neonatal Nurses

Numeric weighted score (0–17+). Most widely deployed in US L&D units. ACOG Safe Motherhood Initiative endorses it.

  • Best for: Nurse-led workflows; EHR integration
  • Style: Weighted numeric → 3-tier
  • Updated: 2022
ACOG SMI

ACOG Safe Motherhood Initiative

Three-tier framework aligned with AWHONN and CMQCC. Used in the ACOG Postpartum Hemorrhage Patient Safety Bundle.

  • Best for: ACOG-aligned units; physician-led workflows
  • Style: Categorical Low/Med/High
  • Updated: 2024 bundle revision

Frequently asked questions

Is patient data transmitted anywhere?

No. Every calculation runs entirely in your browser using JavaScript. No patient information leaves your device, and the site does not store any inputs. You can use it on the hospital wifi without HIPAA concerns.

Is this an FDA-cleared device?

No — this is a clinical decision support tool intended to assist licensed clinicians. It does not diagnose, treat, or replace clinical judgment. Per FDA guidance on clinical decision support software (2022), tools that allow the clinician to independently review the basis of a recommendation are not regulated medical devices.

Why three different scoring frameworks?

Different hospitals standardize on different frameworks based on their EHR, quality reporting requirements, and historical adoption. CMQCC is dominant in California and West Coast systems; AWHONN is the most common nurse-implemented tool; ACOG SMI aligns with physician-led bundles. Validation studies show all three identify similar high-risk populations.

Can I integrate this into our EHR?

The free calculator is for individual clinician use. For EHR integration (SMART-on-FHIR for Epic/Cerner, HL7 for Meditech), team-based assessment, bundle compliance tracking, and Joint Commission reporting, see the Pro version for hospitalscontact us.

Who built this?

PPHrisk was built by practicing OB/GYN and maternal-fetal medicine clinicians who saw too many hospitals running PPH bundles on paper. We believe the basic risk score should be free, fast, and available everywhere — and that the paid product is the workflow around it, not the calculator.

Are the recommendations evidence-based?

Yes — recommendations are drawn from the CMQCC V3 Hemorrhage Toolkit (2022), ACOG Practice Bulletin 183 (Postpartum Hemorrhage), AWHONN Postpartum Hemorrhage Project, and the AIM (Alliance for Innovation on Maternal Health) Maternal Safety Bundle on Obstetric Hemorrhage.

About PPHrisk

Postpartum hemorrhage remains the leading preventable cause of maternal mortality in the United States. Despite well-established risk stratification frameworks from CMQCC, AWHONN, and ACOG, a substantial number of community hospitals still administer these tools on paper or in spreadsheets — adding cognitive load to already overstretched nursing staff.

PPHrisk exists because the basic calculation should be effortless. Open the page, tap the factors, get the tier, paste the documentation. That's it. No login. No PHI. No barrier.

For hospitals ready to move beyond the calculator into structured bundle compliance, real-time team dashboards, quantitative blood loss tracking, MTP activation workflows, and automated AIM/Joint Commission reporting — we're building a paid platform. Get in touch.

★ PPHrisk Pro

Save your assessments. Build your roster.

Pro adds private patient roster, branded reports, and CSV export — all stored locally in your browser. Patient data never leaves your device.

Free
$0 / forever

For any clinician who needs a quick risk score.

  • All 3 frameworks (CMQCC, AWHONN, ACOG)
  • Admission, intrapartum, postpartum stages
  • Copy chart note to clipboard
  • Download text summary
  • Print-friendly output
  • Save assessments to roster
  • Branded PDF reports
  • Roster export to CSV
Most popular
PPHrisk Pro
$9 / month

or — save 27%

For clinicians who use it every shift.

  • Everything in Free
  • Save & label assessments in private roster
  • Re-assess patients over time
  • Branded PDF reports (your name, hospital, NPI)
  • Export full roster to CSV
  • Custom recommendation templates
  • Priority email support
  • Early access to new features

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For your hospital? See the Maternal Safety Suite.

For L&D units: Maternal Safety Suite

Multi-user team roster, AIM/CMQCC bundle compliance, MTP workflows, QBL tracking, and automated Joint Commission reporting.

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