The authors present a retrospective, observational study of the treatment of postpartum hemorrhage (PPH) with a massive transfusion protocol (MTP). The study delineates that PPH is a rare condition, often associated with coagulopathy, and the authors claim that the MTP was associated with favorable hematological indices, as evaluated with conventional coagulation tests. The data, however, indicate that most of the PPH patients were severely coagulopathic during the resuscitation phase and this questions the conclusions somewhat. The authors suggest that outcome studies are needed and this is correct.

– Pär Johansson