Accepted Article This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1002/ijgo.12361 This article is protected by copyright. All rights reserved. Article Type: Clinical Article CLINICAL ARTICLE Maternal morbidity after implementation of a postpartum hemorrhage protocol including use of misoprostol Ricardo Savirón-Cornudella 1, *, Luis M Esteban 2 , Ramiro Laborda-Gotor 3 , Belén Rodríguez-Solanilla 3 , Bremen De Mucio 4 , Gerardo Sanz 5 , Sergio Castán-Mateo 3 1 Department of Obstetrics and Gynecology, Villalba General Hospital, Madrid, Spain 2 Engineering School of La Almunia, Universidad de Zaragoza, Zaragoza, Spain 3 Department of Obstetrics and Gynecology, Miguel Servet University Hospital, Zaragoza, Spain 4 Latin American Center for Perinatology, PAHO/WHO, Montevideo, Uruguay 5 Department of Statistical Methods, Universidad de Zaragoza, Zaragoza, Spain * Correspondence Ricardo Savirón-Cornudella, Department of Obstetrics and Gynecology, Villalba General Hospital, Camino de Moralzarzal M-608 Km. Calle Alpedrete 41. 28400 Collado Villalba, Madrid, Spain. Email: rsaviron@gmail.com Keywords: Bakri balloon; Maternal morbidity; Postpartum anemia; Postpartum hemorrhage; Postpartum hysterectomy; Uterine atony